Provider Demographics
NPI:1306871637
Name:GHOBRIAL, IRENE M (MD)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:M
Last Name:GHOBRIAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:MAYER 548A
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:617-632-4198
Mailing Address - Fax:
Practice Address - Street 1:DANA FARBER CANCER INSTITUTE
Practice Address - Street 2:44 BINNEY STREET
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-632-4198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA226664207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology