Individual
DR. JOSEPH B EL-KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, FND 8, BOSTON, MA 02114-2621
(617) 726-3906
(617) 726-5651
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203894
MA
207RI0200X
Infectious Disease Physician
203894
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181285
—
MA
01
—
203894
TUFTS HEALTH PLAN
MA
01
—
J25462
BCBS MA
MA
Enumeration date
11/09/2005
Last updated
11/15/2012
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