Provider Demographics
NPI:1093200560
Name:FARHANGMEHR, TARANEH
Entity Type:Individual
Prefix:
First Name:TARANEH
Middle Name:
Last Name:FARHANGMEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 TREMONT ST APT 12T
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1111
Mailing Address - Country:US
Mailing Address - Phone:617-817-1756
Mailing Address - Fax:
Practice Address - Street 1:151 TREMONT ST.
Practice Address - Street 2:12T
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-817-1756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty