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Individual

DR. ALEXANDRA CATHERINE PUYANA THEALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MHPE

Contact information

Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 610-5193
Mailing address
55 COLELLA RD UNIT 1, NEWTON, MA 02459-3623

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3020855
MA

Other

Enumeration date
04/10/2026
Last updated
04/10/2026
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