Organization
NASIM GHAFFAR, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASIM GHAFFAR M.D. (OWNER)
(978) 957-4474
Entity
Organization
Contact information
Practice address
505 NASHUA RD, DRACUT, MA 01826-1929
(978) 957-4474
(978) 957-4475
Mailing address
505 NASHUA RD, DRACUT, MA 01826-1929
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
46370
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091232
—
MA
01
—
J01040
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
03/19/2008
Last updated
03/19/2008
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