Individual
ROKNEDIN SAFAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CENTER FOR HEALTHY AGING, 480 MAPLE ST. SUITE 201, DANVERS, MA 01923
(978) 646-7070
(978) 750-6988
Mailing address
CENTER FOR HEALTHY AGING, 480 MAPLE ST. SUITE 201, DANVERS, MA 01923
(978) 646-7070
(978) 750-6988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
274160
MA
2084P0800X
Psychiatry Physician
C55214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0510012
—
OH
01
—
34148208500
BWC
OH
Enumeration date
12/27/2005
Last updated
04/27/2018
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