Individual
OMAR MEZIAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, HUNNEWELL BUILDING, PAVILION 129, HOUSESTAFF LOUNGE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, HUNNEWELL BUILDING, PAVILION 129, HOUSESTAFF LOUNGE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
66132
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
07/05/2022
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