Individual
DR. KAMAL MF ITANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6205
(857) 202-5549
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6202
(857) 202-5549
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
220586
MA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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