Alyaa Al-Ibraheemi
Pathology, Anatomic Pathology in Boston, MA. Individual provider (NPI-1).
NPI number1659626091
StatusActive
Last updated in NPPESApr 15, 2016
Details
- NPI
- 1659626091
- Entity type
- Individual (NPI-1)
- Name
- Alyaa Al-Ibraheemi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2012
- Last updated
- Apr 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0101X | Pathology, Anatomic Pathology | 257821 | MA | Yes |
| 207ZP0213X | Pathology, Pediatric Pathology | 257821 | MA |
Practice location
300 Longwood AveBoston, MA 02115-5724
Phone 617-355-8969
Mailing address
300 Longwood AveBoston, MA 02115-5724
Phone 617-355-8969
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