Individual
DR. NEBYAT TADLO MAZENGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5689
(617) 636-4719
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5689
(617) 636-4719
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1023414
MA
Other
Enumeration date
03/31/2022
Last updated
04/22/2026
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