Provider Demographics
NPI:1083466098
Name:ALI, MOHAMED ABDELNASSER IBRAHIM (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMED
Middle Name:ABDELNASSER IBRAHIM
Last Name:ALI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2100 DORCHESTER AVENUE
Mailing Address - Street 2:STEWARD CARNEY HOSPITAL RESIDENCY PROGRAM, 7TH FLOOR-RO
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02124
Mailing Address - Country:US
Mailing Address - Phone:617-506-2726
Mailing Address - Fax:617-506-2100
Practice Address - Street 1:2100 DORCHESTER AVENUE
Practice Address - Street 2:STEWARD CARNEY HOSPITAL RESIDENCY PROGRAM, 7TH FLOOR-RO
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02124
Practice Address - Country:US
Practice Address - Phone:617-506-2726
Practice Address - Fax:617-506-2100
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program