Individual
DR. SHOBHANA A DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1493 CAMBRIDGE ST, CHA - ANESTHESIOLOGY, CAMBRIDGE, MA 02139-1047
(617) 665-1630
Mailing address
1493 CAMBRIDGE ST, CHA - ANESTHESIOLOGY, CAMBRIDGE, MA 02139-1047
(617) 665-1630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35309
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035309
TUFTS HEALTH PLAN
MA
05
—
2046768
—
MA
01
—
B11586
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
11/28/2007
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