Provider Demographics
NPI:1831536085
Name:REZANIA, SAHARNAZ
Entity type:Individual
Prefix:MRS
First Name:SAHARNAZ
Middle Name:
Last Name:REZANIA
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 1:95 LOKER ST
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-3717
Mailing Address - Country:US
Mailing Address - Phone:508-358-1609
Mailing Address - Fax:
Practice Address - Street 1:95 LOKER ST
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-3717
Practice Address - Country:US
Practice Address - Phone:508-358-1609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist