Individual
MAHNOOSH ESLAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5270
(781) 431-5535
Mailing address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5270
(781) 431-5535
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017372
NEIGHBORHOOD HEALTH PLAN
MA
01
—
043836
TUFTS HEALTH PLAN
MA
01
—
C25154
BLUE CROSS
MA
Enumeration date
05/17/2006
Last updated
01/07/2021
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