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Individual

OSAMA SOROUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBCHB

Contact information

Practice address
243 CHARLES ST, BOSTON, MA 02114-3096
(617) 573-6917
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3096
(617) 573-6917

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101284091
VA
390200000X
Student in an Organized Health Care Education/Training Program
3013577
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
199463
EGYPTIAN MEDICAL SYNDICATE
Enumeration date
12/20/2022
Last updated
07/22/2025
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