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BIJAN NASSERI NIAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
91 WASHINGTON STREET, 3RD FLOOR STE 303, TAUNTON, MA 02780
(508) 824-1259
Mailing address
91 WASHINGTON STREET, 3RD FLOOR STE 303, TAUNTON, MA 02780
(508) 824-1259

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
72033
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110052356A
MA
05
3103421
MA
01
7497480
AETNA
01
AA181571
HARVARD PILGRIM
MA
Enumeration date
12/04/2006
Last updated
11/02/2011
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