Individual
DR. LILY TABBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3378
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3378
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39901
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056089
—
MA
Enumeration date
11/14/2005
Last updated
12/27/2010
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