Provider Demographics
NPI:1821405713
Name:AGHDASI, ZINA SARAH IRWIN (CLC)
Entity Type:Individual
Prefix:MRS
First Name:ZINA
Middle Name:SARAH IRWIN
Last Name:AGHDASI
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 BRUSH HILL RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-1011
Mailing Address - Country:US
Mailing Address - Phone:603-305-8267
Mailing Address - Fax:
Practice Address - Street 1:285 BRUSH HILL RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-1011
Practice Address - Country:US
Practice Address - Phone:603-305-8267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-13
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN