Individual
MINA FARKHONDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 DWIGHT RD, LONGMEADOW, MA 01106-1993
(603) 264-5792
Mailing address
123 DWIGHT RD, LONGMEADOW, MA 01106-1993
(603) 264-5792
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
260003
MA
Other
Enumeration date
05/09/2011
Last updated
07/23/2014
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