Individual
PEGAH AFRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-2527
(774) 442-3687
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(002) 258-8858
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
291151-01
NY
2084N0400X
Neurology Physician
Primary
295425
MA
2084N0400X
Neurology Physician
6755983-1205
UT
Other
Enumeration date
01/26/2007
Last updated
11/04/2022
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