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Individual

DERYA BORA HAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 DORCHESTER AVE, SUITE 2204, DORCHESTER CENTER, MA 02124-5615
(617) 739-2100
(617) 296-4330
Mailing address
31 PINE ST, STE 204, NORFOLK, MA 02056-1680
(617) 739-2100
(617) 296-4330

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
78328
MA

Other

Enumeration date
09/12/2006
Last updated
07/28/2017
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