Basic Information
Provider Information
NPI: 1346653490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOND
FirstName: ALLISON
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1505 4TH ST
Address2: APT 5
City: SAN FRANCISCO
State: CA
PostalCode: 941582268
CountryCode: US
TelephoneNumber: 6177262865
FaxNumber:  
Practice Location
Address1: MASSACHUSETTS GENERAL HOSPITAL
Address2: 55 FRUIT STREET
City: BOSTON
State: MA
PostalCode: 02114
CountryCode: US
TelephoneNumber: 6177262865
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/06/2014
LastUpdateDate: 09/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XL-259714MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XA154405CAY Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X259714MAN Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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