Provider Demographics
NPI:1922067529
Name:MARGOSSIAN, STEVEN PAUL (MD PHD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PAUL
Last Name:MARGOSSIAN
Suffix:
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:DANA 3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:617-632-6793
Mailing Address - Fax:617-632-4410
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-6793
Practice Address - Fax:617-632-4410
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2007-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2048242080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ25850OtherBLUE CROSS BLUE SHIELD
80303OtherFALLON COMMUNITY HEALTH P
MA2005280OtherMASSHEALTH
204824OtherTUFTS
0405084OtherCIGNA
206428OtherHPHC
206428OtherHPHC
0405084OtherCIGNA