Individual
DR. ALANNA TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
85 E CONCORD ST FL 8, BOSTON, MA 02118-2335
(617) 638-4552
Mailing address
85 E CONCORD ST FL 8, BOSTON, MA 02118-2335
(617) 638-4552
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
289633
MA
207WX0109X
Neuro-ophthalmology Physician
289633
MA
Other
Enumeration date
06/21/2016
Last updated
09/28/2023
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