Provider Demographics
NPI:1689862534
Name:SAFIEDDINE, REDA M (MD)
Entity type:Individual
Prefix:
First Name:REDA
Middle Name:M
Last Name:SAFIEDDINE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1515 COMMONWEALTH AVE
Mailing Address - Street 2:KINDRED HOSPITAL BOSTON
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-562-5359
Mailing Address - Fax:617-562-5415
Practice Address - Street 1:736 CAMBRIDGE STREET
Practice Address - Street 2:CARITAS SAINT ELIZABETH MEDICAL CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-571-5915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2014-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA233912207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine