Individual
WALID IBRAHIM DAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 PEARL ST STE 100, BROCKTON, MA 02301-2866
(508) 588-8034
(508) 588-5969
Mailing address
35 PEARL ST STE 100, BROCKTON, MA 02301-1195
(508) 588-8034
(508) 588-5969
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
261906
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11010386A
—
MA
Enumeration date
11/20/2007
Last updated
04/17/2018
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