Gorji, Nasim
Gorji, Nasim is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Gorji, Nasim can be contacted via phone (508) 334-6206.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 334-6206
Fax: (508) 334-6083
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 254146 | Massachusetts |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 254146 | Massachusetts |
Profile Details
NPI number | 1619298361 |
---|---|
LBN Legal business name | Gorji, Nasim |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2010 |
Last updated | Nov 16th, 2020 - about 4 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 | 1619298361 | NPPES |
Massachusetts | Other | S400304176 | MEDIARE |
Massachusetts | MEDICAID | 110112316A | MEDIARE |
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