Individual
DR. ALEENA BANERJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 BLOSSOM STREET, COX 201, BOSTON, MA 02114-3117
(617) 726-3850
(617) 724-0239
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-3850
(617) 724-0239
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
214055
MA
207R00000X
Internal Medicine Physician
214055
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174301
—
MA
01
—
214055
TUFTS HEALTH PLAN
MA
01
—
J25223
BCBS MA
MA
Enumeration date
11/29/2005
Last updated
07/29/2014
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