Individual
SIMON TACVORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-4923
(781) 744-8000
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5172
(401) 444-5090
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1023782
MA
207L00000X
Anesthesiology Physician
MD20540
RI
Other
Enumeration date
03/25/2021
Last updated
07/24/2025
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