Individual
DR. NICHOLAS OMID DANESHVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN STREET, WACC 812, BOSTON, MA 02114-3117
(617) 724-5600
Mailing address
15 PARKMAN STREET, WACC 812, BOSTON, MA 02114-3117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
293735
MA
Other
Enumeration date
12/03/2019
Last updated
12/05/2024
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