Individual
ALLA I NEYSHTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON ST, BLUE BUILDING, SUITE 420, NEWTON, MA 02462-1650
(617) 630-9823
(617) 630-4481
Mailing address
2000 WASHINGTON ST, BLUE BUILDING, SUITE 420, NEWTON, MA 02462-1650
(617) 630-9823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
150852
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153380
—
MA
Enumeration date
12/21/2006
Last updated
05/06/2008
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