Zacarian, Alice L

Zacarian, Alice L is an individual health care provider with primary practice located at 355 Waverley Oaks Rd Suite 200, Waltham MA 02452-8474. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Zacarian, Alice L can be contacted via phone (781) 647-6920.

Contact Information

Primary practice address
355 Waverley Oaks Rd Suite 200 Waltham MA 02452-8474
Phone: (781) 647-6920
Fax: (781) 891-0056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 158523 Massachusetts

Profile Details

NPI number 1871580597
LBN Legal business name Zacarian, Alice L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 13th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871580597 NPPES
Massachusetts MEDICAID 3192741

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