Provider Demographics
NPI:1558057703
Name:HAGHIGHAT, DARIUS (MS, CGC)
Entity type:Individual
Prefix:
First Name:DARIUS
Middle Name:
Last Name:HAGHIGHAT
Suffix:
Gender:M
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 HARRISON AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2682
Mailing Address - Country:US
Mailing Address - Phone:617-414-3703
Mailing Address - Fax:
Practice Address - Street 1:725 HARRISON AVE FL 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2682
Practice Address - Country:US
Practice Address - Phone:617-414-3703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAGC848170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS