Provider Demographics
NPI:1689611295
Name:ALSARRAF, RAMSEY (MD)
Entity Type:Individual
Prefix:
First Name:RAMSEY
Middle Name:
Last Name:ALSARRAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 NEWBURY STREET
Mailing Address - Street 2:THE NEWBURY CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116
Mailing Address - Country:US
Mailing Address - Phone:617-375-0500
Mailing Address - Fax:
Practice Address - Street 1:69 NEWBURY ST
Practice Address - Street 2:THE NEWBURY CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-3063
Practice Address - Country:US
Practice Address - Phone:617-375-0500
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209446207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery