Individual
FARAH ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 ANDREW AVE STE 203, WAYLAND, MA 01778-3157
(508) 358-3300
Mailing address
77 SACRAMENTO ST APT 2, SOMERVILLE, MA 02143-3554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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