Individual
SEYEDEH NINA MASOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 946-8103
Mailing address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 468-1035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03818
RI
2085R0202X
Diagnostic Radiology Physician
Primary
291935
MA
Other
Enumeration date
07/11/2016
Last updated
05/24/2022
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