Healthcare Provider Details

I. General information

NPI: 1447137161
Provider Name (Legal Business Name): SAMIR TOUMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 CHARLES ST
BOSTON MA
02114-3002
US

IV. Provider business mailing address

243 CHARLES ST
BOSTON MA
02114-3002
US

V. Phone/Fax

Practice location:
  • Phone: 617-573-3412
  • Fax: 617-573-3851
Mailing address:
  • Phone: 617-573-3412
  • Fax: 617-573-3851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number1025569
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: