Individual
ABDALLAH K ALAMEDDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(603) 253-8987
(603) 253-8988
Mailing address
PO BOX 1139, MELROSE, MA 02176
(603) 253-8987
(603) 253-8988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
55572
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
55572
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012418
—
MA
05
—
0127418
—
MA
01
—
020004182
RAILROAD MEDICARE
MA
01
—
26124
HARVARD PILGRIM HEALTHCARE
MA
01
—
714400
TUFTS HEALTHPLANS
MA
Enumeration date
01/30/2007
Last updated
06/09/2020
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