Individual
FAROKH R. DEMEHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
279072
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110131494A
—
MA
05
—
3119127
—
NH
Enumeration date
05/20/2010
Last updated
04/11/2024
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