Healthcare Provider Details

I. General information

NPI: 1023793981
Provider Name (Legal Business Name): MAJD ROUFAIL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HOSPITAL DR STE 306
HOLYOKE MA
01040-6603
US

IV. Provider business mailing address

10 HOSPITAL DR STE 306
HOLYOKE MA
01040-6603
US

V. Phone/Fax

Practice location:
  • Phone: 413-534-2830
  • Fax: 413-887-6432
Mailing address:
  • Phone: 413-534-2830
  • Fax: 413-887-6432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number1024671
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: