Doctor Name: | BORZOO NIKPOOR |
NPI Number: | 1053586487 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD427343 |
Business Practice Address: | 680 Centre St Brockton, MA - 023023308 |
Business Phone Number: | 5089417885 |
Business Fax Number: | 5089410895 |
Mailing Address: | 680 Centre Street, BROCKTON |
State: | MA |
Postal Code: | 02302 |
Phone Number: | 5089417885 |
Fax Number: | 5089416337 |
NPI Enumeration Date: | 04/27/2008 |
NPI Last Update Date: | 10/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD427343 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |