Individual
MARY ANN DAKKAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 W. SQUANTUM ST, NORTH QUINCY, MA 02171
(617) 376-3000
(617) 774-1905
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
272706
MA
207Q00000X
Family Medicine Physician
Primary
A126495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110127425A
—
MA
Enumeration date
03/19/2012
Last updated
03/11/2026
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