Individual provider · NPI-1

Dr. Ali Anwar Aboalela

Dentist, Oral and Maxillofacial Pathology · Boston, MA

NPI number1356773642
StatusActive
Last updated in NPPESAug 8, 2013

Details

NPI
1356773642
Entity type
Individual (NPI-1)
Name
Dr. Ali Anwar Aboalela
Sex
Male
Sole proprietor
No
Enumeration date
Aug 8, 2013
Last updated
Aug 8, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0106X Dentist, Oral and Maxillofacial PathologyDL11825MAYes

Practice location

75 Francis Street
Brigham And Womens Hospital
Boston, MA 02115

Phone 617-732-6974

Mailing address

151 Tremont St
Apt 17b
Boston, MA 02111-1125

Phone 617-515-9993

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