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Individual

DR. KOOROSH HAGHAYEGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5057
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5057
(401) 606-1233

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
LP04035
RI

Other

Enumeration date
06/08/2017
Last updated
06/08/2017
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