Individual
MANOUCHER SHADMAN SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 RESEARCH PLACE, N CHELMSFORD, MA 01863-2439
(978) 275-9650
(978) 275-9552
Mailing address
19 WILLIAMS ST, ANDOVER, MA 01810
(978) 475-3324
(978) 275-9552
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32933
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030497
—
MA
Enumeration date
03/15/2006
Last updated
08/17/2012
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