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Individual

AVIAD LAVIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1014742
MA
207R00000X
Internal Medicine Physician
MT220357
PA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
617-355-6000
MA

Other

Enumeration date
07/22/2020
Last updated
10/16/2023
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