Individual
HATEM ABDALLAH ELLAITHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(857) 282-3083
Mailing address
10 BAKER AVE, WESTPORT, CT 06880-5001
(475) 319-5207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2888624
MA
Other
Enumeration date
03/30/2021
Last updated
08/18/2021
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