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Individual

MS. ANJALI IYENGAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
850 HARRISON AVE # YACC4, BOSTON, MA 02118-4001
(617) 414-4359
Mailing address
801 ALBANY ST FL GROUND, BOSTON, MA 02119-2560

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.052724
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
244341
MA

Other

Enumeration date
08/05/2008
Last updated
02/09/2021
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