Individual
KINZA ALEEN BERICAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(508) 320-1628
Mailing address
36 GREENWICH PARK APT 2, BOSTON, MA 02118-3004
(617) 732-8210
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
269638
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
09/04/2018
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