Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 285362 | MA |
NPI | 1629665302 |
---|---|
Provider Name | Dr. Abdulrahman Aldeeri |
First Address | Boston, MA 02130-4768 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2020 |
Last Update Date | 28/12/2020 |