Individual
IRAJ AGHDASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
851 MAIN ST, SUITE # 24, SOUTH WEYMOUTH, MA 02190-1612
(781) 331-8584
(781) 331-8585
Mailing address
851 MAIN ST, SUITE # 24, SOUTH WEYMOUTH, MA 02190-1612
(781) 331-8584
(781) 331-8585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39421
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067463
—
MA
Enumeration date
10/25/2006
Last updated
07/08/2007
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