Individual
ALICE L ZACARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 WAVERLEY OAKS RD, SUITE 200, WALTHAM, MA 02452-8474
(781) 647-6920
(781) 891-0056
Mailing address
355 WAVERLEY OAKS RD, SUITE 200, WALTHAM, MA 02452-8474
(781) 647-6920
(781) 891-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3192741
—
MA
Enumeration date
09/29/2005
Last updated
03/13/2014
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