Individual
PHOENIX DANIELLE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
283209
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039
—
NC
Enumeration date
06/08/2017
Last updated
01/07/2021
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