Individual
HORMUZDIYAR HENRY DASENBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 7, SUITE C, BOSTON, MA 02118
(617) 638-8992
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
266595
MA
Other
Enumeration date
02/04/2009
Last updated
06/05/2019
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