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Individual

ABSHIR NOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
136 NORTHAMPTON ST APT A, BOSTON, MA 02118-1833
(617) 784-0703
Mailing address
136 NORTHAMPTON ST APT A, BOSTON, MA 02118-1833
(617) 784-0703

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NA
MA
Enumeration date
07/08/2019
Last updated
07/08/2019
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