Individual
HENGAMEH LAVASANIFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
JCB;131 ORNAC SUITE 200;, MGH CANCER CENTER AT EMERSON HOSPITAL, CONCORD, MA 01742
(978) 371-4845
Mailing address
JCB;131 ORNAC SUITE 200;, MGH CANCER CENTER AT EMERSON HOSPITAL, CONCORD, MA 01742
(978) 371-4845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25320
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH25320
PHARMACIST LICENSE NUMBER
MA
Enumeration date
02/08/2017
Last updated
02/08/2017
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