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Provider Information for 1497003941

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ALANNA CHURCH M.D.

Gender: FEMALE

Individual NPI: 1497003941

Calendar   Last Updated:  2019-06-27
  Certification Date: 

Details

Name Value
NPI 1497003941
Enumeration Date 2012-08-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 14 HOMER ST APT 3
BROOKLINE, MA 02445-6956
United States

Phone: 617-319-0225 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-7431 | Fax:
View Map External Link
Secondary Practice Address 75 FRANCIS ST
BOSTON, MA 02115-6106
United States

Phone: 617-319-0225 | Fax:
View Map External Link

450 BROOKLINE AVE
BOSTON, MA 02215-5450
United States

Phone: 617-319-0225 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207ZP0007X - Pathology Molecular Genetic Pathology MA 250281