Healthcare Provider Details

I. General information

NPI: 1689203382
Provider Name (Legal Business Name): NEHA ZAER ESMAEILI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NEHA FARIBORZ ZAER

II. Dates (important events)

Enumeration Date: 04/04/2020
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 MAPLE AVE
SHREWSBURY MA
01545-2675
US

IV. Provider business mailing address

378 MAPLE AVE
SHREWSBURY MA
01545-2675
US

V. Phone/Fax

Practice location:
  • Phone: 508-852-8571
  • Fax: 508-535-1662
Mailing address:
  • Phone: 508-852-8571
  • Fax: 508-535-1662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1016305
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: