Moinzadeh, Alireza
Moinzadeh, Alireza is an individual health care provider with primary practice located at 41 Mall Rd Department Of Urology, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Moinzadeh, Alireza can be contacted via phone (781) 744-8334.Contact Information
Primary practice address
41 Mall Rd Department Of Urology
Burlington MA 01805-0001
Phone: (781) 744-8334
Fax: (781) 744-5429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 160895 | Massachusetts |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 14771 | New Hampshire |
Profile Details
| NPI number | 1174535918 |
|---|---|
| LBN Legal business name | Moinzadeh, Alireza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jun 1st, 2012 - about 12 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 | 1174535918 | NPPES |
| Massachusetts | MEDICAID | 110077501A | |
| Massachusetts | MEDICAID | 30209387 |
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