Individual
ALISA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, AU-521, CHILDREN'S HOSPITAL BOSTON, HARVARD PEDIATRIC HEALTH SERVICES RESEARCH FELLOWSHIP, BOSTON, MA 02115-5724
(617) 355-8298
(617) 730-0174
Mailing address
303 THIRD ST, #615, CAMBRIDGE, MA 02142-1156
(410) 736-3399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
250817
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
05/06/2009
Last updated
07/06/2012
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