Individual
DR. ALI TAVAKKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BRIGHAM AND WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6337
(617) 734-0336
Mailing address
111 CYPRESS ST, BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION, BROOKLINE, MA 02445
(617) 582-1200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
212489
MA
Other
Enumeration date
10/28/2006
Last updated
03/13/2012
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