Individual
ALEXANDER M NORBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 E NEWTON ST, DEPT RADIOLOGY, BOSTON, MA 02118-2308
(617) 638-6610
(617) 638-6616
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
158213
MA
2085R0202X
Diagnostic Radiology Physician
158213
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060431A
—
MA
Enumeration date
03/03/2006
Last updated
08/11/2015
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