Mudawwar, Fuad B

Mudawwar, Fuad B is an individual health care provider with primary practice located at 269 Locust St Suite 201, Florence MA 01062-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Mudawwar, Fuad B can be contacted via phone (413) 586-0769.

Contact Information

Primary practice address
269 Locust St Suite 201 Florence MA 01062-2003
Fax: (413) 584-0392
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 41712 Massachusetts

Profile Details

NPI number 1225029713
LBN Legal business name Mudawwar, Fuad B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 13th, 2015 - about 9 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 1225029713 NPPES
Massachusetts MEDICAID 24219108

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