Healthcare Provider Details

I. General information

NPI: 1952805004
Provider Name (Legal Business Name): AHMAD NADER KASSEM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BRANCH ST STE 100
METHUEN MA
01844-1979
US

IV. Provider business mailing address

5 BRANCH ST STE 100
METHUEN MA
01844-1979
US

V. Phone/Fax

Practice location:
  • Phone: 978-620-2020
  • Fax:
Mailing address:
  • Phone: 978-620-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number1022062
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: