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NPI Code Detail

MEDICARE: NAOMI PRIVER MD

MEDICARE: NAOMI PRIVER MD
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
1208000000XPediatrics Physician208581MA

General Provider Information

NPI Number : 1477540656
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI PRIVER MD
Provider Business Mailing Address
First Line : 75 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-4960
Country : US
Telephone Number : 617-495-4171
Fax Number :
Provider Business Practice Location Address
First Line : 75 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-4960
Country : US
Telephone Number : 617-495-4171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 09/27/2016

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Directions to “ NAOMI PRIVER MD” Practice Location

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