Individual
DR. TARIK KALIL ALKASAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2014 WASHINGTON ST, DEPT OF MEDICAL EDUCATION, NEWTON, MA 02462-1607
(617) 243-6000
Mailing address
54 BREWSTER RD, SUDBURY, MA 01776-2408
(978) 443-6763
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
225952
MA
Other
Enumeration date
12/05/2005
Last updated
07/26/2012
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