Individual
TAHA BALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-1465
Mailing address
1010 MASSACHUSETTS AVE APT 52, CAMBRIDGE, MA 02138-5371
(267) 455-2520
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
261171
MA
2084N0400X
Neurology Physician
2008013208
MO
Other
Enumeration date
10/21/2008
Last updated
07/19/2016
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