Individual
DR. IMEN BECETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 726-2909
Mailing address
55 FRUIT ST, BOSTON, MA 02114
(804) 828-4280
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116031939
VA
2080P0205X
Pediatric Endocrinology Physician
Primary
288029
MA
390200000X
Student in an Organized Health Care Education/Training Program
0116031939
VA
Other
Enumeration date
07/01/2018
Last updated
10/02/2024
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