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Individual

DR. FADI T MAALOUF

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 FRUIT ST, YAW 6A, BOSTON, MA 02114-2621
(617) 724-6300
Mailing address
297 CHESTNUT W, #27 J, RANDOLPH, MA 02368-2372
(617) 306-8580

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
222618
MA

Other

Enumeration date
11/23/2005
Last updated
07/08/2007
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