Individual
FAHAD EID ALOTAIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 779-6342
Mailing address
1925 COMMONWEALTH AVE APT 1219, BRIGHTON, MA 02135-5971
(201) 290-7245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
235696
MA
Other
Enumeration date
09/16/2008
Last updated
05/02/2011
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