Individual
DR. NAVID BOUZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SCOBEE CIR STE 3, SOUTH SHORE SKIN CENTER, PLYMOUTH, MA 02360-4887
(508) 747-0711
(508) 746-9265
Mailing address
1 SCOBEE CIR STE 3, SOUTH SHORE SKIN CENTER, PLYMOUTH, MA 02360-4887
(508) 747-0711
(508) 746-9265
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
242646
MA
207ND0101X
MOHS-Micrographic Surgery Physician
242646
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086134A
—
MA
Enumeration date
05/24/2007
Last updated
09/24/2015
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