Individual
MONA ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118
(617) 414-5245
(617) 414-5520
Mailing address
801 ALBANY ST., FLOOR GROUND, BOSTON, MA 02119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
277868
MA
2084P0802X
Addiction Psychiatry Physician
277868
MA
Other
Enumeration date
07/19/2015
Last updated
08/07/2020
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