Organization
PBH PROFESSIONAL GROUP, P.A.
Active
Other names
PATH Worcester Professional Group
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA F. SADRI-AZARBAYEJANI D.O. (PRESIDENT AND SECRETARY)
(615) 308-7871
Entity
Organization
Contact information
Practice address
1329 MAIN ST STE 100, WORCESTER, MA 01603-1548
(508) 556-2002
Mailing address
103 POWELL CT STE 100, BRENTWOOD, TN 37027-5050
(615) 308-7871
(615) 261-8901
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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