Provider Demographics
NPI:1912970591
Name:KALIGIAN, ARAM V (MD)
Entity type:Individual
Prefix:
First Name:ARAM
Middle Name:V
Last Name:KALIGIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:771 ALBANY ST
Mailing Address - Street 2:DOWLING 5 SOUTH
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2525
Mailing Address - Country:US
Mailing Address - Phone:617-414-4465
Mailing Address - Fax:617-414-3345
Practice Address - Street 1:632 BLUE HILL AVE
Practice Address - Street 2:DEPT FAMILY MEDICINE
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02121-3213
Practice Address - Country:US
Practice Address - Phone:617-825-3400
Practice Address - Fax:617-825-7217
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2010-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA220466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2040531Medicaid
MAA36859Medicare ID - Type Unspecified
MA2040531Medicaid