Individual
HUMERA KAUSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LAHEY INFECTIOUS DISEASE, BEVERLY, 85 HERRICK STREET, BEVERLY, MA 01915
(978) 816-3131
(978) 816-2091
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
273493
MA
207RI0200X
Infectious Disease Physician
Primary
273493
MA
390200000X
Student in an Organized Health Care Education/Training Program
267111
MA
Other
Enumeration date
03/21/2013
Last updated
01/14/2020
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