Individual
FNU UMAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WASHINGTON ST, BOXFORD, MA 01921-1017
(978) 296-3781
Mailing address
35 UNITED DR STE 102, WEST BRIDGEWATER, MA 02379-1056
(508) 238-8646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
269681
MA
390200000X
Student in an Organized Health Care Education/Training Program
07725351
PA
Other
Enumeration date
05/18/2012
Last updated
06/11/2020
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