Individual
MR. MOJTABA GHAVIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 MAIN ST, MEDFIELD, MA 02052-1400
(508) 359-6855
(508) 359-7519
Mailing address
230 MAIN ST, MEDFIELD, MA 02052-1400
(508) 359-6855
(508) 359-6855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH22432
MA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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