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Individual

DR. MAMDOUH M RIAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 ATTUCKS LN, HYANNIS, MA 02601-1809
(800) 622-3045
(508) 865-1109
Mailing address
700 ATTUCKS LN, HYANNIS, MA 02601-1809
(800) 622-3045
(508) 865-1109

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
76855
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3103765
MA
01
J13085
BLUE SHIELD
MA
Enumeration date
07/08/2006
Last updated
03/29/2013
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