Provider Demographics
NPI:1801836382
Name:GALABURDA, ALBERT MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:MARK
Last Name:GALABURDA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4 LONGFELLOW PL
Mailing Address - Street 2:APT. 2605
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2838
Mailing Address - Country:US
Mailing Address - Phone:617-367-1509
Mailing Address - Fax:617-667-7011
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:KS274
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-3235
Practice Address - Fax:617-667-7011
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-04-14
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Provider Licenses
StateLicense IDTaxonomies
MA346662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2040069Medicaid
MA2040069Medicare ID - Type Unspecified