Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 35749 | MA |
NPI | 1124122270 |
---|---|
Provider Name | Dr. Mohamed F Ali |
First Address | Fall River, MA 02720-5814 |
Second Address | Fall River, MA 02720-5814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2006 |
Last Update Date | 02/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012260 | NHP-MA (01) | MA |
035749 | TUFTS (01) | MA |
130862 | HARVARD PILGRIM (01) | MA |
3419091 | CIGNA (01) | MA |
D94142 | (02) | MA |
USHC2326642 | AETNA (01) | MA |