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Individual
DR. MAZDA JALALI
Active
Individual
DR. MAZDA JALALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
220843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470038
TU
—
01
—
J28341
BS
—
Enumeration date
02/07/2006
Last updated
12/28/2012
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