Individual provider · Type 1 NPI

Anisa Mnyusiwalla, B.SC., MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1073743159 Active

Practice location

75 Francis St, Department Of Radiology
Boston, MA 02115-6110

Call (617) 732-6269 Map

Mailing address

1443 Beacon St, Apt 709
Brookline, MA 02446-4707

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X239326 (MA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1073743159

Anisa Mnyusiwalla, B.SC., MD's National Provider Identifier is 1073743159, issued on Jul 22, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jul 22, 2009.