Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 277063 | MA |
N | 208000000X | Pediatrician | 277063 | MA |
N | 208000000X | Pediatrician | MD2013-0457 | NM |
NPI | 1821337791 |
---|---|
Provider Name | Aya Abu-El-Haija |
First Address | Boston, MA 02215-5450 |
Second Address | Boston, MA 02215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2013 |
Last Update Date | 08/07/2019 |