Samara, Mariah Salloum

Samara, Mariah Salloum is an individual health care provider with primary practice located at 560 Hillside Ave Boston Ent Associates, Needham MA 02494. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Samara, Mariah Salloum can be contacted via phone (781) 444-4722.

Contact Information

Primary practice address
560 Hillside Ave Boston Ent Associates Needham MA 02494
Fax: (781) 444-4721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35093456 Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 258915 Massachusetts

Profile Details

NPI number 1770785289
LBN Legal business name Samara, Mariah Salloum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Oct 5th, 2020 - about 5 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 1770785289 NPPES
Ohio MEDICAID 2991295

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