Individual
MR. IAN ZACHARY PERVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1493 CAMBRIDGE ST., CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HOSPITAL, CAMBRIDGE, MA 02139
(617) 575-5784
Mailing address
1493 CAMBRIDGE ST., CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HOSPITAL, CAMBRIDGE, MA 02139
(617) 575-5784
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
08/08/2013
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