Individual
IBRAHIM BATAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5254
Mailing address
116 RIVERWAY, APT 1, BOSTON, MA 02215-4132
(617) 817-4368
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
276121
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT185761
PA
Other
Enumeration date
09/03/2008
Last updated
02/03/2020
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