Individual
DR. AHSAN ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, TUFTS-NEMC BOX#391, BOSTON, MA 02111-1526
(617) 636-1573
(617) 636-2369
Mailing address
28 BRAINARD AVE APT 104, MEDFORD, MA 02155-5125
(617) 314-9514
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
229462
MA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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