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Organization
HANJANI PC
Active
Organization
HANJANI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHEIL HANJANI MD (PRESIDENT)
(781) 585-9522
Entity
Organization
Contact information
Practice address
830 OAK ST, STE 201W, BROCKTON, MA 02301-1168
(781) 585-9522
(781) 585-9544
Mailing address
830 OAK ST, STE 201W, BROCKTON, MA 02301-1168
(781) 585-9522
(781) 585-9544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
77682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077682
TUFTS
MA
01
—
130077
HARVARD PILGRIM HEALTHCAR
MA
05
—
9724010
—
MA
01
—
M18214
BC/BS OF MA GROUP #
MA
01
—
M21277
MEDICARE GROUP NUMBER
MA
Enumeration date
12/29/2006
Last updated
01/29/2008
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