Healthcare Provider Details

I. General information

NPI: 1073141594
Provider Name (Legal Business Name): EIMAN GHAFFARPASAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 CAMBRIDGE ST
BOSTON MA
02114-2783
US

IV. Provider business mailing address

2014 WASHINGTON ST
NEWTON MA
02462-1699
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-4900
  • Fax:
Mailing address:
  • Phone: 617-243-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number1028017
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1028017
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number1028017
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: