Ezzat, Waleed Hazem

Ezzat, Waleed Hazem is an individual health care provider with primary practice located at 830 Harrison Ave Suite 1400, Boston MA 02118-2905. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Ezzat, Waleed Hazem can be contacted via phone (617) 638-8124.

Contact Information

Primary practice address
830 Harrison Ave Suite 1400 Boston MA 02118-2905
Phone: (617) 638-8124
Fax: (617) 638-6424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 249477 Massachusetts
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 249477 Massachusetts
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 249477 Massachusetts

Profile Details

NPI number 1821118837
LBN Legal business name Ezzat, Waleed Hazem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2007
Last updated Apr 6th, 2021 - about 4 years 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 1821118837 NPPES
Massachusetts MEDICAID 110090218A
Massachusetts MEDICAID 0A1130100

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