Individual
MARK C ELDAIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, KS-446, BOSTON, MA 02215-5400
(617) 667-3148
Mailing address
49 NORTH MARGIN STREET, UNIT 1, BOSTON, MA 02116-5743
(917) 446-4837
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
229272
MA
Other
Enumeration date
08/20/2006
Last updated
10/06/2011
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