Provider Demographics
NPI:1821615295
Name:DEGIRMENCI, HUSEYIN BERK (MD)
Entity type:Individual
Prefix:MR
First Name:HUSEYIN BERK
Middle Name:
Last Name:DEGIRMENCI
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 1:89 E DEDHAM ST.
Mailing Address - Street 2:APT. 615
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:857-316-7353
Mailing Address - Fax:617-789-2438
Practice Address - Street 1:725 ALBANY ST SHAPIRO CENTER AT BOSTON MEDICAL CENTER
Practice Address - Street 2:SUITE 8A
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-414-6033
Practice Address - Fax:617-638-7454
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA284794207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110170963AMedicaid