Provider Demographics
NPI:1194879395
Name:RICHARD NAJARIAN
Entity type:Organization
Organization Name:RICHARD NAJARIAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-894-6262
Mailing Address - Street 1:411 WAVERLEY OAKS RD
Mailing Address - Street 2:STE 154
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-8447
Mailing Address - Country:US
Mailing Address - Phone:781-894-6262
Mailing Address - Fax:781-894-9519
Practice Address - Street 1:411 WAVERLEY OAKS RD
Practice Address - Street 2:STE 154
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8447
Practice Address - Country:US
Practice Address - Phone:781-894-6262
Practice Address - Fax:781-894-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0557140001Medicare NSC