Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN1857396 | MA |
NPI | 1174078851 |
---|---|
Provider Name | Dr. Rami Albahri |
First Address | Boston, MA 02215-3926 |
Second Address | Boston, MA 02115-5819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2016 |
Last Update Date | 23/08/2016 |