Provider Demographics
NPI:1487405056
Name:ALBA, CRISTINA ELISA
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ELISA
Last Name:ALBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CAMBRIDGEPARK DR UNIT 345
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2465
Mailing Address - Country:US
Mailing Address - Phone:929-309-4168
Mailing Address - Fax:929-309-4168
Practice Address - Street 1:160 CAMBRIDGEPARK DR UNIT 345
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-2465
Practice Address - Country:US
Practice Address - Phone:929-309-4168
Practice Address - Fax:929-309-4168
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program