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AYLEEN GREGORIAN DPM NPI 1912449133


NPI Information

NPI: 1912449133
Provider Name: AYLEEN GREGORIAN DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
22 PARK LN
HARVARD, MA
ZIP 01451
Phone: (781) 254-7093
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AYLEEN GREGORIAN DPM is a primary podiatric medicine podiatrist in Harvard, MA. AYLEEN GREGORIAN DPM NPI is 1912449133. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22 PARK LN
HARVARD, MA
ZIP 01451-436
Phone: (781) 254-7093
Fax: (978) 456-7842

The provider's authorized official is Ayleen Gregorian .
The authorized official title is Owner and has the following contact phone number (781) 254-7093.

The enumeration date for this NPI number is 11/7/2016 and was last updated on 11/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric Medicine2165MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y75103MEDICARE UPINMASSACHUSETTS
20323420MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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