Individual
ALYSSE G WURCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO BLDG SUITE 9 B & C, BOSTON, MA 02118
(617) 414-4290
(617) 414-4285
Mailing address
960 MASSACHUSETTS AVE, FLR 2, PROVIDER ENROLLMENT, BOSTON, MA 02118
(617) 414-4290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245951
MA
207RI0200X
Infectious Disease Physician
245951
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
245951
MA
Other
Enumeration date
06/09/2008
Last updated
10/04/2024
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