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Individual

AMIR MOHAREB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
55 FRUIT STREET GRAY-JACKSON 504, BOSTON, MA 02114
(617) 726-3812
Mailing address
55 FRUIT STREET, GRAY-JACKSON 504, BOSTON, MA 02114
(617) 726-3812
(617) 726-7416

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
278045
MA
207R00000X
Internal Medicine Physician
54998
CT
207RI0200X
Infectious Disease Physician
Primary
278045
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/25/2011
Last updated
03/12/2026
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