Individual
TALI FUDIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 DEACONESS RD, BOSTON, MA 02215-5321
(617) 754-2869
(617) 754-2754
Mailing address
1 DEACONESS RD, BOSTON, MA 02215
(617) 754-2869
(617) 754-2754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN272609
MA
Other
Enumeration date
07/27/2015
Last updated
10/02/2017
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