Individual
TRACEY AKANBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
315372-1
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
289619
MA
Other
Enumeration date
07/09/2014
Last updated
07/06/2021
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