Individual
HAYTHAM S. MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
59 N QUINSIGAMOND AVE, SHREWSBURY, MA 01545-5143
(774) 745-5656
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
224372
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105322
—
MA
Enumeration date
11/16/2005
Last updated
01/06/2014
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