Individual
ALYAA AL-IBRAHEEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8969
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8969
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
257821
MA
207ZP0213X
Pediatric Pathology Physician
257821
MA
Other
Enumeration date
07/23/2012
Last updated
04/15/2016
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