Provider Demographics
NPI:1194261917
Name:NAROUZ, EMAD
Entity type:Individual
Prefix:
First Name:EMAD
Middle Name:
Last Name:NAROUZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-6424
Mailing Address - Country:US
Mailing Address - Phone:203-606-2038
Mailing Address - Fax:
Practice Address - Street 1:174 WOOD ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-6424
Practice Address - Country:US
Practice Address - Phone:203-606-2038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter