Individual
LIDA NABATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 632-6464
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 632-6464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217958
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
217985
PA
Other
Enumeration date
05/24/2006
Last updated
08/29/2013
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