Individual
DR. ANISA MNYUSIWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.SC., M.D.
Contact information
Practice address
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-6110
(617) 732-6269
Mailing address
1443 BEACON ST, APT 709, BROOKLINE, MA 02446-4707
(617) 699-0886
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
239326
MA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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