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NPI Code Detail

MEDICARE: DR. MOHAMMAD SALAJEGHEH M.D.

MEDICARE: DR. MOHAMMAD SALAJEGHEH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0008XNeuromuscular Medicine (Psychiatry & Neurology) Physician212718MA
22084N0600XClinical Neurophysiology Physician212718MA
32084N0400XNeurology Physician212718MA

General Provider Information

NPI Number : 1427012822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD SALAJEGHEH M.D.
Provider Business Mailing Address
First Line : 60 FENWOOD RD FL 4
Second Line :
City : BOSTON
State : MA
Zip : 02115-6128
Country : US
Telephone Number : 617-732-8046
Fax Number :
Provider Business Practice Location Address
First Line : 150 S HUNTINGTON AVE FL 6
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-4817
Country : US
Telephone Number : 857-364-6320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 10/30/2018

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