Individual
MOHAMED AZZAM MEHSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 W BROADWAY, SOUTH BOSTON, MA 02127-2245
(617) 269-7500
(617) 464-7512
Mailing address
409 W BROADWAY, SOUTH BOSTON, MA 02127-2245
(617) 269-7500
(617) 464-7512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000008291
BMC HEALTHNET
MA
01
—
0002034
NEIGHBORHOOD HEALTH PLAN
MH
01
—
04-02913
UNITED HEALTHCARE
MA
01
—
080413
SECURE HORIZONS
MA
01
—
65427UH
HARVARD PILGRIM
MA
01
—
J31736
BLUE CROSS
MA
Enumeration date
02/10/2006
Last updated
02/03/2012
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