Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 220648 | MA |
N | 208000000X | Pediatrician | 220648 | MA |
NPI | 1518946607 |
---|---|
Provider Name | Dr. Fowzan S Alkuraya |
First Address | Boston, MA 02115-5727 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 08/07/2007 |