Provider Demographics
NPI:1518946607
Name:ALKURAYA, FOWZAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:FOWZAN
Middle Name:S
Last Name:ALKURAYA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:77 AVENUE LOUIS PASTEUR
Mailing Address - Street 2:NRB 458
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5727
Mailing Address - Country:US
Mailing Address - Phone:617-525-4710
Mailing Address - Fax:617-525-4751
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:FEGAN 10
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6000
Practice Address - Fax:617-525-4751
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA220648207SG0201X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics