Individual
ALIREZA MOINZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, DEPARTMENT OF UROLOGY, BURLINGTON, MA 01805-0001
(781) 744-8334
(781) 744-5429
Mailing address
41 MALL RD, DEPARTMENT OF UROLOGY, BURLINGTON, MA 01805-0002
(781) 744-8334
(781) 744-5429
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
14771
NH
208800000X
Urology Physician
Primary
160895
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077501A
—
MA
05
—
30209387
—
NH
Enumeration date
08/12/2006
Last updated
06/01/2012
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