Individual
AMIR HOOTAN DARVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 WASHINGTON STREET, DEPT OF EMERGENCY MEDICINE, BOSTON, MA 02111
(617) 636-4720
Mailing address
331B PERKINS ST, JAMAICA PLAIN, MA 02130-4003
(917) 804-5628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
225767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02321153
—
NY
Enumeration date
11/16/2006
Last updated
09/10/2007
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