Individual
DR. BAHARAK ASEFZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-4211
Mailing address
241 NAHANTON ST, NEWTON, MA 02459-2909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2010035330
MO
152W00000X
Optometrist
Primary
4368
MA
Other
Enumeration date
08/17/2006
Last updated
04/20/2012
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