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NPI Code Detail

MEDICARE: DR. WALEED H HASSANEIN M.D.

MEDICARE:  DR. WALEED H HASSANEIN  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
1208600000XSurgery Physician150970MA

General Provider Information

NPI Number : 1184822686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALEED H HASSANEIN M.D.
Provider Business Mailing Address
First Line : 30 WINDKIST FARM RD
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-6352
Country : US
Telephone Number : 617-510-3327
Fax Number :
Provider Business Practice Location Address
First Line : 30 WINDKIST FARM RD
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-6352
Country : US
Telephone Number : 617-510-3327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2007
Last Update Date : 07/08/2007

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Directions to “ DR. WALEED H HASSANEIN M.D.” Practice Location

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