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NPI Code Detail

MEDICARE: RAMY RIZKALLA M.D.

MEDICARE: RAMY RIZKALLA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician223886MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215926498
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMY RIZKALLA M.D.
Provider Business Mailing Address
First Line : 97 LIBBEY INDUSTRIAL PKWY STE 100
Second Line :
City : EAST WEYMOUTH
State : MA
Zip : 02189-3110
Country : US
Telephone Number : 781-331-3300
Fax Number : 781-337-8356
Provider Business Practice Location Address
First Line : 97 LIBBEY INDUSTRIAL PKWY STE 100
Second Line :
City : EAST WEYMOUTH
State : MA
Zip : 02189-3110
Country : US
Telephone Number : 781-331-3300
Fax Number : 781-337-8356
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2005
Last Update Date : 12/23/2021

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Directions to “ RAMY RIZKALLA M.D.” Practice Location

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