Provider Demographics
NPI:1104425693
Name:CLARITY HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:CLARITY HEALTH & WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEHPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-265-2572
Mailing Address - Street 1:131 CAMBRIDGE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3711
Mailing Address - Country:US
Mailing Address - Phone:781-265-2572
Mailing Address - Fax:
Practice Address - Street 1:131 CAMBRIDGE ST STE 1
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3711
Practice Address - Country:US
Practice Address - Phone:781-265-2572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty