Individual
TAWAKALITU O OSENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, YAWKEY 7B, BOSTON, MA 02114-2621
(617) 726-8290
Mailing address
1501 FRONT ST, APT 526, SAN DIEGO, CA 92101-2973
(267) 505-3467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101233171
VA
2086X0206X
Surgical Oncology Physician
17641
NH
2086X0206X
Surgical Oncology Physician
266768
MA
Other
Enumeration date
04/17/2006
Last updated
06/22/2016
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