Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | L-226876 | MA |
N | 2080P0208X | Pediatric Infectious Diseases | 234994 | MA |
NPI | 1184750911 |
---|---|
Provider Name | Chadi Elsaleeby |
First Address | Boston, MA 02114-2743 |
Second Address | Boston, MA 02114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 11/04/2018 |