Healthcare Provider Details
I. General information
NPI: 1578034641
Provider Name (Legal Business Name): ZUHAYR HEMADY MD BI PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2018
Last Update Date: 12/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1261 FURNACE BROOK PKWY STE 33
QUINCY MA
02169-4762
US
IV. Provider business mailing address
1261 FURNACE BROOK PKWY STE 33
QUINCY MA
02169-4762
US
V. Phone/Fax
- Phone: 617-472-7111
- Fax:
- Phone: 617-472-7111
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
FADUA
HEMADY
Title or Position: OFFICE MANAGER
Credential:
Phone: 617-472-7111