Individual
DR. EBA H HATHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
295077
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A485230
—
CA
Enumeration date
07/20/2006
Last updated
09/01/2022
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