Individual
MAZEN S DUWAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
PO BOX 417067, BOSTON, MA 02241-7067
(800) 258-3599
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
57809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3126421
—
MA
01
—
34982
HPHC
MA
01
—
737696
TUFTS
MA
01
—
J30658
BCBS
MA
Enumeration date
10/18/2005
Last updated
03/04/2021
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