Individual
ALANZO FIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 386-9692
Mailing address
14 FORDHAM RD, ALLSTON, MA 02134
(617) 386-9692
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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