Individual
SANELISO MASUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
(617) 734-6385
Mailing address
43 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
(617) 734-6385
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
279789
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
07/11/2022
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