Individual
DR. MARIAH SALLOUM SAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
560 HILLSIDE AVE, BOSTON ENT ASSOCIATES, NEEDHAM, MA 02494
(781) 444-4722
(781) 444-4721
Mailing address
560 HILLSIDE AVE, BOSTON ENT ASSOCIATES, NEEDHAM, MA 02494
(781) 444-4722
(781) 444-4721
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
258915
MA
207Y00000X
Otolaryngology Physician
35093456
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2991295
—
OH
Enumeration date
06/05/2007
Last updated
10/05/2020
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