Individual
DR. BASHAYER ALTAEFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
449 CANAL ST APT 435, SOMERVILLE, MA 02145-4358
(617) 764-6746
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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