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
Phone: (781) 444-4722
Fax: (781) 444-4721
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770785289 | NPPES |
| Ohio | MEDICAID | 2991295 |
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