Individual
ALLA TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., D.O.
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5238
(781) 744-2930
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5238
(781) 744-2930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
246273
MA
390200000X
Student in an Organized Health Care Education/Training Program
237369
MA
Other
Enumeration date
07/09/2008
Last updated
12/30/2014
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