Individual
PETAL ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
300 BROOKLINE AVE, BOSTON, MA 02215-5403
(617) 754-4677
(617) 632-0215
Mailing address
330 BROOKLINE AVE # SPAN201, BOSTON, MA 02215-5491
(617) 754-4677
(617) 632-0215
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1013117
MA
Other
Enumeration date
07/08/2019
Last updated
03/08/2023
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