Individual
MEHRDAD ALEMOZAFFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6861
Mailing address
464 COMMONWEALTH AVE APT 37, BOSTON, MA 02215-2707
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
072548
GA
208600000X
Surgery Physician
BB5204071-MA00
MA
208800000X
Urology Physician
Primary
072548
GA
Other
Enumeration date
06/22/2007
Last updated
11/01/2021
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