MEDICARE: JAMSHED ANVARI 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
1	207R00000X	Internal Medicine Physician	70964	MA

General Provider Information

NPI Number	:	1821124405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMSHED ANVARI M.D.

Provider Business Mailing Address
First Line	:	411 MERRIMACK ST
Second Line	:	SUITE 105
City	:	METHUEN
State	:	MA
Zip	:	01844-5821
Country	:	US
Telephone Number	:	978-682-2808
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 MERRIMACK ST
Second Line	:	SUITE 105
City	:	METHUEN
State	:	MA
Zip	:	01844-5821
Country	:	US
Telephone Number	:	978-682-2808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	11/07/2012

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