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Individual

ASIF MAHMOOD PAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
2100 DORCHESTER AVE, DEPARTMENT OF NEUROLOGY, DORCHESTER, MA 02124-5615
(617) 564-3771
Mailing address
2100 DORCHESTER AVE, DEPARTMENT OF NEUROLOGY, DORCHESTER, MA 02124-5615

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10032008
TX
2084N0400X
Neurology Physician
Primary
251083
MA
2084N0400X
Neurology Physician
BP20035788
TX

Other

Enumeration date
06/04/2008
Last updated
02/26/2017
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