Individual
WAEL F AL-HUSAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805
(781) 744-8401
(781) 744-5110
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8401
(781) 744-5110
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
11695
RI
207RC0000X
Cardiovascular Disease Physician
220702
MA
207RI0011X
Interventional Cardiology Physician
Primary
220702
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076462
—
MA
Enumeration date
09/21/2005
Last updated
03/19/2019
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