Individual
DR. FAHAD MN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVENUE NORTH, UMASS MEMORIAL MEDICAL CENTER, WORCESTER, MA 01655
(508) 421-1401
(508) 421-1490
Mailing address
505 PLANTATION ST APT 421, WORCESTER, MA 01605-4337
(508) 414-6039
(508) 791-1878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
158939
MA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
158939
MA
Other
Enumeration date
10/05/2006
Last updated
09/11/2025
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