Individual
SALMAN MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 MELROSE ST, MELROSE, MA 02176
(978) 512-2699
Mailing address
166 GRANT AVE, MEDFORD, MA 02155-2765
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025100903
MA
Other
Enumeration date
03/30/2026
Last updated
05/14/2026
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