Basic Information
Provider Information
NPI: 1376849240
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAFRI
FirstName: ZAINUB
MiddleName: HASSAN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8 PROSPECT ST
Address2:  
City: NASHUA
State: NH
PostalCode: 030603925
CountryCode: US
TelephoneNumber: 6035772045
FaxNumber:  
Practice Location
Address1: 8 PROSPECT ST
Address2:  
City: NASHUA
State: NH
PostalCode: 030603925
CountryCode: US
TelephoneNumber: 6035772045
FaxNumber: 6035775644
Other Information
ProviderEnumerationDate: 02/09/2011
LastUpdateDate: 08/25/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X15348NHY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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