Doctor Name: | MR. MARTIN H ZAFRAN |
NPI Number: | 1073682878 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 103785 |
Business Practice Address: | 1895 Centre St Suite 11 West Roxbury, MA - 021321933 |
Business Phone Number: | 6173273399 |
Business Fax Number: | 6177381855 |
Mailing Address: | 1895 Centre St, Suite 11 WEST ROXBURY |
State: | MA |
Postal Code: | 021321933 |
Phone Number: | 6173273399 |
Fax Number: | 6177381855 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 103785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |