Individual
ALIREZA TAJICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 349-6575
(781) 937-4510
Mailing address
12 GILL ST, WOBURN, MA 01801-1728
(781) 937-4522
(781) 937-4510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA079145
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972563518
—
VA
Enumeration date
03/27/2006
Last updated
11/30/2021
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