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Organization

AYLEEN GREGORIAN DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AYLEEN GREGORIAN DPM (OWNER)
(781) 254-7093
Entity
Organization

Contact information

Practice address
22 PARK LN, HARVARD, MA 01451-1436
(781) 254-7093
(978) 456-7842
Mailing address
22 PARK LN, HARVARD, MA 01451-1436
(781) 254-7093
(978) 456-7842

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
2165
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0323420
MA
Enumeration date
11/07/2016
Last updated
11/07/2016
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