Individual
DR. RADWA T ELGHADAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-8300
Mailing address
21 OVERLOOK RIDGE TER UNIT 110, REVERE, MA 02151-1194
(201) 736-5462
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DL15335
MA
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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