Individual
DR. BASSAM S EL-JAMOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD, CAGS
Contact information
Practice address
555 TURNPIKE ST, SUITE 55, NORTH ANDOVER, MA 01845-5923
(617) 838-0952
Mailing address
10 JASPER ST, BEVERLY, MA 01915-4814
(617) 838-0952
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21922
MA
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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