Bouzari, Navid
Bouzari, Navid is an individual health care provider with primary practice located at 1 Scobee Cir Ste 3 South Shore Skin Center, Plymouth MA 02360-4887. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bouzari, Navid can be contacted via phone (508) 747-0711.Contact Information
Primary practice address
1 Scobee Cir Ste 3 South Shore Skin Center
Plymouth MA 02360-4887
Phone: (508) 747-0711
Fax: (508) 746-9265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 242646 | Massachusetts |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 242646 | Massachusetts |
Profile Details
| NPI number | 1417168535 |
|---|---|
| LBN Legal business name | Bouzari, Navid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Sep 24th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417168535 | NPPES |
| Massachusetts | MEDICAID | 110086134A |
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