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Maryam Rahimo, MD

Pediatrics in Worcester, MA. Individual provider (NPI-1).

NPI number1164093662
StatusActive
Last updated in NPPESAug 13, 2024

Details

NPI
1164093662
Entity type
Individual (NPI-1)
Name
Maryam Rahimo
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 6, 2021
Certification date
Aug 13, 2024
Last updated
Aug 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics1019713MAYes

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Phone 774-442-2853 · Fax 774-443-7268

Mailing address

Po Box 415348
Boston, MA 02241-5348

Phone 800-225-8885 · Fax 508-334-1977

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