Individual
DR. MOHAMED A ELGEZIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1681 WASHINGTON ST, BRAINTREE, MA 02184-7948
(781) 848-6040
(781) 843-1314
Mailing address
1681 WASHINGTON ST, BRAINTREE, MA 02184-7948
(781) 848-6040
(781) 843-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078866
TUFTS HEALTH PLAN
MA
05
—
3127851
—
MA
01
—
66350
HARVARD PILGRIM
MA
01
—
J14738
BLUE CROSS
MA
Enumeration date
03/22/2006
Last updated
02/22/2008
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