MEDICARE: AHMED EL ZANFALY D.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
1	1223G0001X	General Practice Dentistry	DN1857023	MA

General Provider Information

NPI Number	:	1962888123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMED EL ZANFALY D.M.D

Provider Business Mailing Address
First Line	:	987 FURNACE BROOK PKWY
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-1617
Country	:	US
Telephone Number	:	857-389-6080
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 WASHINGTON ST STE 103
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-4764
Country	:	US
Telephone Number	:	857-389-6080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	03/20/2023

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