person
Angelique Ealy, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1184474140

Angelique Ealy is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Angelique Ealy practices in Boston, MA and has the professional credentials of MD. The NPI Number for Angelique Ealy is 1184474140 and holds a License No. (Massachusetts).

The current practice location address for Angelique Ealy is 60 Fenwood Rd, Boston, MA and can be reached out via phone at 617-732-6753.

Location: 60 Fenwood Rd, Boston, MA, 02115-6128
person
Provider Profile Details
NPI Number
1184474140
Provider Name
Angelique Ealy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
60 Fenwood Rd, Boston, MA, 02115-6128
Phone Number
617-732-6753
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
60 Fenwood Rd
City
State
Zip
02115-6128
Phone Number
617-732-6753
Fax Number
person
Provider Business Mailing Address Details
Address
60 Fenwood Rd
City
State
Zip
02115-6128
Phone Number
617-732-6753
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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