Individual
AZAD BONNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE # KS406, BOSTON, MA 02215-5400
(617) 667-2622
Mailing address
330 BROOKLINE AVE # KS406, BOSTON, MA 02215-5400
(617) 667-2622
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
245211
MA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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