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Individual

ZHEALA QAYYUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
045279
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
275517
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001452796
CT
Enumeration date
05/18/2009
Last updated
08/21/2018
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