Individual
DR. SAMAR Y. MAHAMUD HAFIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB, BCH
Contact information
Practice address
732 HARRISON AVE, FL 2, PRESTON BLDG, BOSTON, MA 02118-2309
(617) 638-7470
(617) 638-7449
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
261193
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
261193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484 GROUP
—
NV
05
—
110109816A
—
MA
05
—
3137385
—
NH
Enumeration date
07/10/2007
Last updated
12/19/2023
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