Individual
AHMED MOHAMED ABOUELAZAEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 NEVINS STREET, MEDICAL OFFICE BUILDING (MOB), 3RD FLOOR - ROOM 304, BRIGHTON, MA 02135
(617) 789-2386
Mailing address
VILLA NUMBER 3, BLOCK 6/15, WEST SOMID, 6TH OF OCTOBER, GIZA, EGYPT 12566
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
04/02/2026
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