Individual
HANI MOWAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118-2908
(617) 414-5481
(617) 414-7759
Mailing address
PO BOX 414402, BOSTON, MA 02241-0001
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101237216
VA
207P00000X
Emergency Medicine Physician
0116015100
VA
207P00000X
Emergency Medicine Physician
Primary
226640
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139839
—
MA
01
—
505053
TUFTS
MA
01
—
J42077
BCBS
MA
Enumeration date
07/13/2006
Last updated
05/06/2008
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