Dr. Ali Tavakkoli, MD
Surgery in Boston, MA. Individual provider (NPI-1).
NPI number1124104591
StatusActive
Last updated in NPPESMar 13, 2012
Details
- NPI
- 1124104591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ali Tavakkoli
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2006
- Last updated
- Mar 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 212489 | MA | Yes |
Practice location
75 Francis StBrigham And Womens Hospital
Boston, MA 02115-6110
Phone 617-732-6337 · Fax 617-734-0336
Mailing address
111 Cypress StBrigham And Womens Physicians Organization
Brookline, MA 02445
Phone 617-582-1200
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