Individual
DR. ANNABI I DJALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 DELMORE DR, ROSEAU, MN 56751-1534
(718) 320-1950
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
249485
NY
207Q00000X
Family Medicine Physician
Primary
249773
MA
207Q00000X
Family Medicine Physician
50627
MN
Other
Enumeration date
07/01/2008
Last updated
12/21/2022
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