Individual
MRS. INGRID BEATRIZ AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 FRANCIS ST, BOSTON, MA 02215-5501
(617) 362-8658
(617) 362-7514
Mailing address
110 FRANCIS ST, BOSTON, MA 02215-5501
(617) 632-8658
(617) 632-7514
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
231964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32-0058309
—
MA
Enumeration date
06/29/2006
Last updated
08/05/2016
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