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Individual

DR. ELIE S SEMAAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 STAFFORD ST STE 210, SPRINGFIELD, MA 01104-3513
(413) 748-9378
(413) 748-9387
Mailing address
300 STAFFORD ST STE 210, SPRINGFIELD, MA 01104-3513
(413) 748-9378
(413) 748-9387

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
230519
MA
208600000X
Surgery Physician
47597
AZ
2086S0129X
Vascular Surgery Physician
16327
NH
2086S0129X
Vascular Surgery Physician
Primary
230519
MA
2086S0129X
Vascular Surgery Physician
47597
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110120894A
MA
05
3104130
NH
Enumeration date
12/08/2006
Last updated
08/08/2022
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