Individual
IDRISS EL KOUSSAIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 MAIN ST, SUITE 203, ASHLAND, MA 01721-1187
(508) 881-3029
(508) 881-1752
Mailing address
479 WASHINGTON ST, HOLLISTON, MA 01746-1828
(508) 429-2377
(508) 429-2607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
247126
MA
Other
Enumeration date
04/10/2008
Last updated
05/25/2016
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