Individual
DZOVIG S ESSAJANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
319 LONGWOOD AVE, SECOND FLOOR, BOSTON, MA 02115-5728
(617) 355-6711
Mailing address
76 CLOVERDALE RD, RIGHT, NEWTON, MA 02461-1811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1611
MA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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