Individual
DR. NAZARET DERKEVORKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 LOWELL ST, ANDOVER, MA 01810-4501
(978) 783-5000
(978) 313-8184
Mailing address
323 LOWELL ST, ANDOVER, MA 01810-4501
(978) 783-5000
(978) 313-8184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216431
MA
207R00000X
Internal Medicine Physician
216431
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301853
—
MA
01
—
J26493
BC.BS
MA
Enumeration date
10/14/2005
Last updated
04/10/2017
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