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Contact Information

HORMUZDIYAR H DASENBROCK, MD
725 ALBANY STREET
SHAPIRO 7, SUITE C
BOSTON, MA02118
 Phone: 617-638-8992
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HORMUZDIYAR H DASENBROCK · (Male)

NPI Number 1013155688
Status Active
Credentials MD
Entity Individual
Enumeration date 02/04/2009
Last updated 06/05/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 266595
Hospital affiliation(s)
  • BOSTON MEDICAL CENTER CORPORATION - (Acute Care)
    1 BOSTON MEDICAL CENTER PLACE
    BOSTON, MA 02118
  • GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    235 NORTH PEARL STREET
    BROCKTON, MA 02301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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