Provider Information for 1952759524
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Dr. NEGAR FARAMARZI M.D.
Sex: Female
NPI: 1952759524
Last Updated: 2019-08-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1952759524 | ||||||||
| Enumeration Date | 2016-05-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 117 ELLENFIELD ST STE 101 PROVIDENCE, RI 02905-4541 United States Phone: 401-444-6779 | Fax:401-444-6912 | ||||||||
| Primary Practice Address | 593 EDDY ST PROVIDENCE, RI 02903-4923 United States Phone: 401-444-3985 | Fax:401-444-3986 | ||||||||
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