Individual
ALI POURVAZIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-3261
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-3261
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
295471
MA
Other
Enumeration date
01/02/2020
Last updated
02/23/2023
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