Massoud, Elias

Massoud, Elias is an individual health care provider with primary practice located at 85 Herrick St , Beverly MA 01915-1776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Massoud, Elias can be contacted via phone (978) 922-3000.

Contact Information

Primary practice address
85 Herrick St Beverly MA 01915-1776
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 78438 Massachusetts

Profile Details

NPI number 1396732608
LBN Legal business name Massoud, Elias
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1396732608 NPPES
Massachusetts MEDICAID 3121232

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