Individual
NISSA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 459-9226
Mailing address
330 BROOKLINE AVENUE, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
266186
MA
Other
Enumeration date
04/01/2013
Last updated
06/21/2023
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