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Organization

F KHAJAVI MD FACP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARROKH KHAJAVI M.D. (PRESIDENT)
(781) 662-6213
Entity
Organization

Contact information

Practice address
3 WOODLAND RD STE 418, STONEHAM, MA 02180-1714
(781) 662-6213
(781) 665-9860
Mailing address
3 WOODLAND RD STE 418, STONEHAM, MA 02180-1714
(781) 662-6213
(781) 665-9860

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002019
MA
Enumeration date
11/23/2007
Last updated
11/23/2007
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