Individual
FIRAS ABDUSSALAM NAKSHABANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 BELMONT ST BLDG 5, (116A7) PSYCHIATRY EDUCATION ATTN: MARIE, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
940 BELMONT ST BLDG 5, (116A7) PSYCHIATRY EDUCATION ATTN: MARIE, BROCKTON, MA 02301-5596
(508) 583-4500
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036136493
IL
390200000X
Student in an Organized Health Care Education/Training Program
249139
MA
Other
Enumeration date
07/26/2011
Last updated
01/22/2016
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