Provider Demographics
NPI:1588952451
Name:DARVISH, ALLISON NOURIELLE (DO)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:NOURIELLE
Last Name:DARVISH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 LEXINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1404
Mailing Address - Country:US
Mailing Address - Phone:747-239-8503
Mailing Address - Fax:
Practice Address - Street 1:10 LEXINGTON CIR
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1404
Practice Address - Country:US
Practice Address - Phone:774-239-8503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA254869207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine