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Individual

DR. ADAM DALIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., MBA

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-2103
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(614) 293-8652

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1124394762
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2012
Last updated
01/17/2017
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