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Organization

SHAPUR AMERI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAPUR AMERI M.D. (OWNER)
(781) 729-0105
Entity
Organization

Contact information

Practice address
955 MAIN ST, SUITE 305, WINCHESTER, MA 01890-1961
(781) 729-0105
(781) 729-0125
Mailing address
955 MAIN ST, SUITE 305, WINCHESTER, MA 01890-1961
(781) 729-0105
(781) 729-0125

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
51413
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6195431
MA
Enumeration date
07/21/2016
Last updated
07/21/2016
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