Individual
DR. KAMBIZ NEGAHBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 ROCHE BROTHERS WAY, SUITE 140, NORTH EASTON, MA 02356-1000
(508) 238-2388
(508) 238-2073
Mailing address
75 CAMBRIDGE PKWY, UNIT E1202, CAMBRIDGE, MA 02142-1229
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
212310
MA
207WX0120X
Cornea and External Diseases Specialist Physician
212310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151581
—
MA
01
—
152683BMC
HARVARD PILGRIM HEALTH CA
MA
01
—
212310
TUFTS HEALTH PLAN
MA
01
—
2716088
AETNA
MA
01
—
J24253
BCBS
MA
Enumeration date
09/27/2005
Last updated
11/09/2018
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