Individual
DR. ADEL EBRAHIM GHULOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
257708
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072990A
—
OK
Enumeration date
08/05/2006
Last updated
08/27/2014
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