Individual
MOHAMED FAZAL ALLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEETING HOUSE RD, UNIT 5, CHELMSFORD, MA 01824-2733
(978) 256-0173
Mailing address
432 COLUMBIA ST, CAMBRIDGE, MA 02141-1039
(978) 256-0173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71328
MA
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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