Individual
HEBA MAHJOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 TREMONT ST, BOSTON, MA 02116-5603
(617) 636-4600
Mailing address
260 TREMONT ST, BOSTON, MA 02116-5603
(617) 636-4600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
293605
MA
390200000X
Student in an Organized Health Care Education/Training Program
RS2026-0003
NM
Other
Enumeration date
12/01/2019
Last updated
01/26/2026
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