Mehssen, Mohamed Azzam

Mehssen, Mohamed Azzam is an individual health care provider with primary practice located at 409 W Broadway , South Boston MA 02127-2245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mehssen, Mohamed Azzam can be contacted via phone (617) 269-7500.

Contact Information

Primary practice address
409 W Broadway South Boston MA 02127-2245
Phone: (617) 269-7500
Fax: (617) 464-7512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 80413 Massachusetts

Profile Details

NPI number 1578536389
LBN Legal business name Mehssen, Mohamed Azzam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Feb 3rd, 2012 - about 14 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 1578536389 NPPES
Massachusetts Other 080413 SECURE HORIZONS
Massachusetts Other J31736 SECURE HORIZONS
Massachusetts Other 00000008291 SECURE HORIZONS
Massachusetts Other 0002034 SECURE HORIZONS
Massachusetts Other 080413 SECURE HORIZONS
Massachusetts Other 04-02913 SECURE HORIZONS
Massachusetts Other 65427UH SECURE HORIZONS

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