Individual
DR. WALEED HAZEM EZZAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 HARRISON AVE STE 1400, BOSTON, MA 02118-2905
(617) 638-8124
(617) 638-6424
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
249477
MA
207YS0123X
Facial Plastic Surgery Physician
249477
MA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
249477
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1130100
—
CA
05
—
110090218A
—
MA
05
—
3125285
—
NH
Enumeration date
03/31/2007
Last updated
06/16/2025
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