Ezziddin, Omar

Ezziddin, Omar is an sole proprietor health care provider with primary practice located at 908 Allen St , Springfield MA 01118-2533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ezziddin, Omar can be contacted via phone (413) 796-7494.

Contact Information

Primary practice address
908 Allen St Springfield MA 01118-2533
Phone: (413) 796-7494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036131711 Illinois
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 036131711 Illinois

Profile Details

NPI number 1821232901
LBN Legal business name Ezziddin, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2009
Last updated Nov 27th, 2023 - about 2 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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