Individual
MR. SIMON AWADIS OVANESSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 FRIBERG PKWY, WESTBOROUGH, MA 01581-3900
(508) 329-6300
(508) 329-6088
Mailing address
300 FRIBERG PKWY, WESTBOROUGH, MA 01581-3900
(508) 329-6300
(508) 329-6088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
042079
CT
2084P0800X
Psychiatry Physician
Primary
1014448
MA
2084P0800X
Psychiatry Physician
232261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001420794
—
CT
05
—
1014448
—
MA
05
—
1420794
—
CT
01
—
15-54607
UNITED BEHAVIORAL HEALTH
CT
01
—
343759
MANAGED HEALTH NETWORK
CO
01
—
537053
VALUE OPTIONS
CT
01
—
810698118
PHCS
CT
01
—
P3624013
OXFORD
CT
Enumeration date
06/10/2006
Last updated
09/03/2024
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