Provider Demographics
NPI:1619963279
Name:MORAIS, ISABEL R (MD)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:R
Last Name:MORAIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:226 HARVARD AVENUE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134
Mailing Address - Country:US
Mailing Address - Phone:617-751-5520
Mailing Address - Fax:617-383-6452
Practice Address - Street 1:29 CRAFTS ST
Practice Address - Street 2:SUITE 400
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1275
Practice Address - Country:US
Practice Address - Phone:617-964-7530
Practice Address - Fax:617-964-5479
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2016-01-07
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Provider Licenses
StateLicense IDTaxonomies
MA208366207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B85004Medicare UPIN
MAI60000657Medicare ID - Type Unspecified