Healthcare Provider Details

I. General information

NPI: 1083526875
Provider Name (Legal Business Name): ONE ENT PHYSICIANS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1398 MASSACHUSETTS AVE STE 3
ARLINGTON MA
02476-4151
US

IV. Provider business mailing address

133 DUDLEY RD
NEWTON MA
02459-2830
US

V. Phone/Fax

Practice location:
  • Phone: 617-618-5153
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCHARUKH JALISI
Title or Position: PRESIDENT
Credential: MD, MBA
Phone: 617-596-3087