Individual
AWAB ALI IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 371-7307
(251) 445-2464
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
37483
AL
2080P0206X
Pediatric Gastroenterology Physician
Primary
292354
MA
Other
Enumeration date
03/27/2015
Last updated
05/17/2022
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