Individual
DR. SHIVA MORTAZAVI-MOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1000
Mailing address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
252757
MA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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