Individual
ANISA MANSOOR AMIJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
(857) 654-1100
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
(857) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101951
MA
Other
Enumeration date
03/03/2025
Last updated
07/29/2025
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