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Individual

ASHA MI DASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
62 DOVE ST # 2, NEW ORLEANS, LA 70124-4310
(504) 228-9433

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PLLN102658
MA

Other

Enumeration date
03/18/2024
Last updated
08/16/2024
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