Individual
AZZA H IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8707
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101241618
VA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
282605
MA
Other
Enumeration date
04/24/2007
Last updated
01/11/2024
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