Individual
IAN HAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 CANAL ST, MALDEN, MA 02148-6701
(781) 338-0500
Mailing address
50 STATION LNDG, APT 323, MEDFORD, MA 02155-5180
(617) 791-3395
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
264745
MA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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