Individual
MARYAM A ALSENDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E NEWTON ST STE G217, BOSTON, MA 02118-2308
(617) 638-4750
(617) 638-6170
Mailing address
780 BOYLSTON ST APT 14F, BOSTON, MA 02199-7813
(857) 309-6390
(617) 638-6170
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL13458
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BB1832268PMA
—
MA
Enumeration date
02/05/2018
Last updated
02/05/2018
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