ADAM BASEL PISSARIS

BOSTON, MA
NPI1023564507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MA  284195)
Enumeration Date2016-08-25
Last Update Date2020-08-10
Business Address
ADAM BASEL PISSARIS
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-724-4068
Mailing Address
ADAM BASEL PISSARIS
10 EMERSON PL APT 2K
BOSTON, MA 02114-2218
Phone number: 312-503-7975