Individual
JOSE ALEJANDRO BACALLA VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BETH ISRAEL DEACONESS MEDICAL CENTER, 330 BROOKLINE AVENUE, BOSTON, MA 02215
(617) 667-3524
(617) 667-3513
Mailing address
JIRON ANCASH 1271 - BARRIOS ALTOS - CERCADO DE LIMA, LIMA, LIMA 15003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3019898
MA
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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