Individual
DR. YASAMAN GHAVAMI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
174 BROADWAY, SOMERVILLE, MA 02145-3129
(617) 666-1800
(617) 628-4930
Mailing address
174 BROADWAY, SOMERVILLE, MA 02145-3129
(617) 666-1800
(617) 628-4930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4144
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317471
—
MA
Enumeration date
03/20/2006
Last updated
07/08/2007
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