Avant-Garde Medical LLC
Organization Active NPI Dermatology Physician · Natick, MA
NPI 1679098750 · NPPES record last updated Aug 9, 2017
Key facts
- NPI
- 1679098750
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- AVANT-GARDE MEDICAL LLC
- Practice address
- 62 Pleasant St
Natick, MA 01760-5634 - Phone
- (508) 238-8646
- NPI assigned
- Aug 9, 2017
- Organization subpart
- No
Authorized official
- Name
- Fariba Miryousefi
- Title
- Owner
- Phone
- (508) 238-8646
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes |
Addresses
Primary practice location
62 Pleasant St
Natick, MA 01760-5634
Mailing address
35 United Dr Ste 102
W Bridgewater, MA 02379-1027
Phone (508) 238-8646
Other providers in Natick, MA
- Assist Psychiatric Services LLC
- Assist Psychiatric Services LLC
- Amjad Atwi
- Pierre Farah Aubin
- Aurora Counseling Associates
- Lisa M Ayles
- Fereshteh Azizi
- Rachel Bachman
- Su Jin Bae
- Daniel Baker
All providers in Natick, MA · Dermatology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.