Individual
ESFANDIAR ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5215
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5215
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
52592
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6192394
—
MA
Enumeration date
09/17/2006
Last updated
10/26/2010
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