Dr. LEOU ISMAEL BANLA MD PhD
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1255969267- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD PhD
- Status
- Active
Contact & Location
- Address
- 55 FRUIT ST, BOSTON, MA, 021142696
- Phone
- (617) 726-2000
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Unknown
Primary License: MA #1014502