Individual
ALFREDO JESUS SELIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
1611 CAMBRIDGE STREET, INTERNAL MEDICINE, CAMBRIDGE, MA 02138
(617) 661-5100
(617) 661-5226
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
76321
MA
207R00000X
Internal Medicine Physician
Primary
76321
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030512
NEIGHBORHOOD HEALTH
MA
01
—
076321
TUFTS
MA
05
—
2015170
—
MA
01
—
6000154
HARVARD PILGRIM
MA
01
—
J26489
BLUE CROSS
MA
Enumeration date
06/16/2006
Last updated
11/20/2020
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