Provider Demographics
NPI:1174784045
Name:AMIN, PRIYAL A (DO)
Entity type:Individual
Prefix:DR
First Name:PRIYAL
Middle Name:A
Last Name:AMIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:68 TADMUCK RD STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3136
Mailing Address - Country:US
Mailing Address - Phone:978-619-5447
Mailing Address - Fax:978-692-8800
Practice Address - Street 1:68 TADMUCK RD STE 3
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3136
Practice Address - Country:US
Practice Address - Phone:978-619-5447
Practice Address - Fax:978-692-8800
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2022-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA257682207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy