Individual
KAYVON IZADPANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
(781) 878-6750
Mailing address
141 LONGWATER DR STE 201, NORWELL, MA 02061-1620
(781) 792-4136
(781) 878-6750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
278853
MA
Other
Enumeration date
03/27/2016
Last updated
08/06/2019
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