MEDICARE: AZIZ AREF MASSAAD 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	208600000X	Surgery Physician	014088	ME
2	208C00000X	Colon & Rectal Surgery Physician	014088	ME

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00187069	OTHER	ME	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AA41896	OTHER	ME	HARVARD PILGRIM
4	047954	OTHER	ME	ANTHEM OF MAINE

General Provider Information

NPI Number	:	1134173792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZIZ AREF MASSAAD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 317
Second Line	:
City	:	MACHIAS
State	:	ME
Zip	:	04654-0317
Country	:	US
Telephone Number	:	207-255-6831
Fax Number	:	207-255-6832

Provider Business Practice Location Address
First Line	:	229 MAIN ST
Second Line	:	SUITE 1
City	:	MACHIAS
State	:	ME
Zip	:	04654-3606
Country	:	US
Telephone Number	:	207-255-6831
Fax Number	:	207-255-6832

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	09/27/2011

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Directions to “ AZIZ AREF MASSAAD M.D.” Practice Location

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