Most Relevant Information
Provider Data
| NPI Number: | 1003662859 |
| Provider Name: | PAVAN S. BRAR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2024 |
| Last Updated: | 04/24/2024 |
Provider Practice Location
1493 CAMBRIDGE ST RM 239
CAMBRIDGE
MA
021391047
Practice Location Phone/Fax
| Phone: | 6175755399 |
| Fax: |
Provider Mailing Location
1493 CAMBRIDGE ST RM 239
CAMBRIDGE
MA
021391099
Provider Mailing Phone/Fax
| Phone: | 6175755399 |
| Fax: |