Individual
MOHAMAD A ABDELAZEEZ KHALED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL CENTER DRIVE, SUITE 503, SPRINGFIELD, MA 01199-1619
(413) 794-5600
(413) 794-5242
Mailing address
1290 SILAS DEANE HWY, HHC CVO, WETHERSFIELD, CT 06109-4337
(860) 972-9033
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
262884
MA
207T00000X
Neurological Surgery Physician
Primary
54621
CT
Other
Enumeration date
08/09/2007
Last updated
04/23/2019
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