Provider Demographics
NPI:1669508073
Name:ALSAN, BURAK HUSEYIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BURAK
Middle Name:HUSEYIN
Last Name:ALSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:62 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2716
Mailing Address - Country:US
Mailing Address - Phone:708-466-4425
Mailing Address - Fax:
Practice Address - Street 1:80 BEHARRELL ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-1739
Practice Address - Country:US
Practice Address - Phone:781-259-9292
Practice Address - Fax:781-259-0747
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126971207R00000X, 208000000X
MA239175208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics