=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578034641
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZUHAYR HEMADY MD BI PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2018
-----------------------------------------------------
Last Update Date | 12/16/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1261 FURNACE BROOK PKWY STE 33
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02169-4762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-472-7111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1261 FURNACE BROOK PKWY STE 33
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02169-4762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-472-7111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MS. FADUA HEMADY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 617-472-7111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------