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Individual

DR. BEVERLY L NAZARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 01655-0002
(508) 856-5545
(508) 856-1042
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
154670
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3169570
MA
Enumeration date
12/01/2005
Last updated
11/16/2020
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