Organization
CNV MW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERYA BORA HAZAR MD, MBR (SENIOR PARTNER)
(617) 739-2100
Entity
Organization
Contact information
Practice address
31 PINE ST STE 204, NORFOLK, MA 02056-1680
(617) 739-2100
Mailing address
31 PINE ST STE 204, NORFOLK, MA 02056-1680
(617) 739-7100
(617) 739-7400
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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