Individual
DR. ALIREZA ATRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
15 PARKMAN ST, WAC 830, BOSTON, MA 02114-3117
(617) 726-1728
(617) 726-4101
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-1728
(617) 726-4101
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
160468
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164691
—
MA
01
—
160468
TUFTS HEALTH PLAN
MA
01
—
J24478
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
11/09/2012
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