Dakkak, Mary Ann

Dakkak, Mary Ann is an individual health care provider with primary practice located at 110 W. Squantum St , North Quincy MA 02171. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dakkak, Mary Ann can be contacted via phone (617) 376-3000.

Contact Information

Primary practice address
110 W. Squantum St North Quincy MA 02171
Phone: (617) 376-3000
Fax: (617) 774-1905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 272706 Massachusetts

Profile Details

NPI number 1326313776
LBN Legal business name Dakkak, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Mar 8th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326313776 NPPES
Massachusetts MEDICAID 110127425A

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