Organization
ANGELS NEUROLOGICAL CENTERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN ENEYNI MD (CEO)
(781) 871-3773
Entity
Organization
Contact information
Practice address
536 WASHINGTON ST, ABINGTON, MA 02351-2465
(781) 871-3773
(781) 871-3771
Mailing address
536 WASHINGTON ST, ABINGTON, MA 02351-2465
(781) 871-3773
(781) 871-3771
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110067236A
—
MA
01
—
M17308
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/14/2011
Last updated
01/03/2015
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