Individual
DR. ZAMENEH MIKHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7701
Mailing address
22 ELIOT RD, LEXINGTON, MA 02421-5629
(781) 861-3522
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
150155
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3201970
—
MA
Enumeration date
06/27/2006
Last updated
07/08/2007
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