Individual
YASMINE H. ELHEFNAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO BLDG., STE 8C, BOSTON, MA 02118
(617) 414-4841
(617) 414-4502
Mailing address
BMC PROVIDER ENROLLMENT OFFICE, 960 MASSACHUSETTS AVE,.2ND FLOOR, BOSTON, MA 02115
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
294360
MA
Other
Enumeration date
08/28/2016
Last updated
04/05/2024
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