Organization
CNV BIDCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERYA BORA HAZAR M.D. (SENIOR PARTNER)
(617) 739-2100
Entity
Organization
Contact information
Practice address
31 PINE ST, SUITE 204, NORFOLK, MA 02056-1642
(617) 739-7100
(617) 739-7400
Mailing address
31 PINE ST, SUITE 204, NORFOLK, MA 02056-1642
(617) 739-7100
(617) 739-7400
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
07/23/2015
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