Ezzat, Waleed Hazem
Ezzat, Waleed Hazem is an individual health care provider with primary practice located at 830 Harrison Ave Ste 1400 , Boston MA 02118-2905. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Ezzat, Waleed Hazem can be contacted via phone (617) 638-8124.Contact Information
Primary practice address
830 Harrison Ave Ste 1400
Boston MA 02118-2905
Phone: (617) 638-8124
Fax: (617) 638-6424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 249477 | Massachusetts |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 249477 | Massachusetts |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 249477 | Massachusetts |
Profile Details
| NPI number | 1821118837 |
|---|---|
| LBN Legal business name | Ezzat, Waleed Hazem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2007 |
| Last updated | Jun 16th, 2025 - about last year |
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 | 1821118837 | NPPES |
| New Hampshire | MEDICAID | 3125285 | |
| New Hampshire | MEDICAID | 0A1130100 | |
| New Hampshire | MEDICAID | 110090218A |
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