Individual
FOZAN ALDULAIJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 881-5456
Mailing address
70 LAKE ST APT C, DALTON, MA 01226-1386
(713) 367-7414
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
244998
MA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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