Individual
DR. DWAYNE B BAHAROZIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 CORNERSTONE SQUARE, SUITE 101, WESTFORD, MA 01886-3198
(978) 692-1400
Mailing address
5 CORNERSTONE SQUARE, SUITE 101, WESTFORD, MA 01886-3198
(978) 692-1400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
71936
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3070379
—
MA
01
—
J10428
BC/BS MA
MA
Enumeration date
06/17/2005
Last updated
10/19/2012
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