Dr. Baharak Asefzadeh, O.D.
Optometrist in Boston, MA. Individual provider (NPI-1).
NPI number1053424564
StatusActive
Last updated in NPPESApr 20, 2012
Details
- NPI
- 1053424564
- Entity type
- Individual (NPI-1)
- Name
- Dr. Baharak Asefzadeh
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Apr 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4368 | MA | Yes |
| 152W00000X | Optometrist | 2010035330 | MO |
Practice location
150 S Huntington AveBoston, MA 02130-4817
Phone 857-364-4211
Mailing address
241 Nahanton StNewton, MA 02459-2909
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