Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 269624 | MA |
Y | 208600000X | Surgeon | 269624 | MA |
N | 2086X0206X | Surgical Oncologist | D69271 | MD |
NPI | 1164661906 |
---|---|
Provider Name | Dr. Aram Nazareth Demirjian |
First Address | Cambridge, MA 02138-5665 |
Second Address | Cambridge, MA 02138-5665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2009 |
Last Update Date | 13/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023227100 | (05) | MD |