Mesallum, Sameh A
Mesallum, Sameh A is an individual health care provider with primary practice located at 826 Willard St Apt 404, Quincy MA 02169-7453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mesallum, Sameh A can be contacted via phone (617) 479-9538.Contact Information
Primary practice address
826 Willard St Apt 404
Quincy MA 02169-7453
Phone: (617) 479-9538
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 160726 | Massachusetts |
Profile Details
| NPI number | 1952360414 |
|---|---|
| LBN Legal business name | Mesallum, Sameh A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Apr 23rd, 2013 - about 11 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 | 1952360414 | NPPES |
| Massachusetts | MEDICAID | 110062301A |
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