Individual
DR. ALLA TANDETNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1180 BEACON ST FL 8, BROOKLINE, MA 02446-3885
(617) 734-2433
(617) 277-9821
Mailing address
1180 BEACON ST FL 8, BROOKLINE, MA 02446-3885
(617) 734-2433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152738
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166091
—
MA
Enumeration date
07/01/2006
Last updated
06/17/2011
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