Individual
ELIAS MASSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1776
(978) 922-3000
Mailing address
PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 02446-9135
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
78438
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121232
—
MA
Enumeration date
10/03/2005
Last updated
07/08/2007
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