Individual
ALEXIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 ALBANY STREET, SUITE 7C, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-8992
(617) 638-8979
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9395
MA
Other
Enumeration date
04/20/2020
Last updated
09/28/2023
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