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NPI Code Detail

MEDICARE: DR. NADIA ALI M.D

MEDICARE:  DR. NADIA  ALI  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician278108MA
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianQ0722TX

General Provider Information

NPI Number : 1760791347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADIA ALI M.D
Provider Business Mailing Address
First Line : 340 HUNNEWELL ST
Second Line :
City : NEEDHAM
State : MA
Zip : 02494-1330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 CENTRE ST
Second Line :
City : ROSLINDALE
State : MA
Zip : 02131-1000
Country : US
Telephone Number : 617-363-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 08/22/2019

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Directions to “ DR. NADIA ALI M.D” Practice Location

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