| Doctor Name: | PAYAM AGHASSI |
| NPI Number: | 1093704298 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 216511 |
| Business Practice Address: | 50 Memorial Drive Suite 113 Leominster, MA - 014532238 |
| Business Phone Number: | 9784662692 |
| Business Fax Number: | 9784664754 |
| Mailing Address: | Po Box 726, LEOMINSTER |
| State: | MA |
| Postal Code: | 01453 |
| Phone Number: | 9784662692 |
| Fax Number: | 9784664754 |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 04/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0201X |
| License Number: | 216511 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Allergy & Immunology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |