Mehssen, Mohamed Azzam
Mehssen, Mohamed Azzam is an individual health care provider with primary practice located at 409 W Broadway , South Boston MA 02127-2245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mehssen, Mohamed Azzam can be contacted via phone (617) 269-7500.Contact Information
Primary practice address
409 W Broadway
South Boston MA 02127-2245
Phone: (617) 269-7500
Fax: (617) 464-7512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 80413 | Massachusetts |
Profile Details
| NPI number | 1578536389 |
|---|---|
| LBN Legal business name | Mehssen, Mohamed Azzam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Feb 3rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578536389 | NPPES |
| Massachusetts | Other | 080413 | SECURE HORIZONS |
| Massachusetts | Other | J31736 | SECURE HORIZONS |
| Massachusetts | Other | 00000008291 | SECURE HORIZONS |
| Massachusetts | Other | 0002034 | SECURE HORIZONS |
| Massachusetts | Other | 080413 | SECURE HORIZONS |
| Massachusetts | Other | 04-02913 | SECURE HORIZONS |
| Massachusetts | Other | 65427UH | SECURE HORIZONS |
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