Individual ProviderAlaa Waleed AlqutubStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland Street, Boston, MA 02111(617) 636-0888PECOS EnrollmentBased on the most recent information from CMS, provider Alaa Waleed Alqutub does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1093132425Provider TypeIndividualFull NameAlqutub, Alaa WaleedTitleMrs.CredentialBDSGenderFemaleSole ProprietorNoEnumeration Date3/24/2014Last Updated3/24/2014Contact InformationPractice LocationPractice Address1 Kneeland Street, Boston, MA 02111Phone(617) 636-0888Fax(617) 636-6809Mailing LocationMailing Address1 Kneeland Street, Boston, MA 02111Phone(617) 636-0888Fax(617) 636-6809Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer