Organization
MAZEN HAMAMEH DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN N HAMAMEH DO (MEDICAL PROVIDER)
(734) 839-6610
Entity
Organization
Contact information
Practice address
5831 WHITEFIELD, DEARBORN HEIGHTS, MI 48127
(734) 839-6610
(734) 839-6611
Mailing address
5831 WHITEFIELD, DEARBORN HEIGHTS, MI 48127
(734) 839-6610
(734) 839-6611
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
5101016795
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215142153
BLUE CARE NETWORK
MI
05
—
1215142153
—
MI
Enumeration date
05/03/2011
Last updated
05/03/2011
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