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Individual

DR. HESHAM M. A. HAMMOUDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
103 MILLBURY ST, AUBURN, MA 01501-3205
(508) 721-4100
(508) 721-4124
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101052100
VA
207R00000X
Internal Medicine Physician
20129
DC
207R00000X
Internal Medicine Physician
Primary
74076
MA
207R00000X
Internal Medicine Physician
M8022
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2147831
MA
Enumeration date
01/15/2007
Last updated
02/11/2014
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