Organization
ALLA I. NEYSHTADT, M.D., PC..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLA NEYSHTADT MD (OWNER)
(617) 630-9823
Entity
Organization
Contact information
Practice address
2000 WASHINGTON ST, BLUE BUILDING, SUITE 420, NEWTON, MA 02462-1650
(617) 630-9823
(617) 630-4481
Mailing address
2000 WASHINGTON ST, BLUE BUILDING, SUITE 420, NEWTON, MA 02462-1650
(617) 630-9823
(617) 630-4481
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
150852
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153380
—
MA
Enumeration date
08/13/2007
Last updated
07/09/2008
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