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Individual

KHALED E EISSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
LAHEY HOSPITAL AND MEDICAL CTR 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
266466
MA
207RP1001X
Pulmonary Disease Physician
266466
MA

Other

Enumeration date
07/14/2009
Last updated
03/11/2025
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