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Individual

DR. SHERESE ALI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST, WRN 605, BOSTON, MA 02114-2696
(617) 726-2984
(617) 726-5946
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
223663
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2110181
MA
01
494199
TUFTS HEALTH PLAN
MA
Enumeration date
10/31/2005
Last updated
07/08/2007
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