# ALLA I. NEYSHTADT, M.D., PC..

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144412396
- **Authorized official:** DR. ALLA NEYSHTADT MD (OWNER)
- **Authorized official phone:** (617) 630-9823

## Contact information

- **Practice address:** 2000 WASHINGTON ST, BLUE BUILDING, SUITE 420, NEWTON, MA 02462-1650
- **Practice address phone:** (617) 630-9823
- **Practice address fax:** (617) 630-4481
- **Mailing address:** 2000 WASHINGTON ST, BLUE BUILDING, SUITE 420, NEWTON, MA 02462-1650
- **Mailing address phone:** (617) 630-9823
- **Mailing address fax:** (617) 630-4481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 150852 | MA | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 07/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3153380 | — | MA |