Individual provider · Type 1 NPI

Mohammad Assaggaf

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1063842052 Active

Practice location

100 E Newton St, Department Of Periodontology
Boston, MA 02118-2308

Call (617) 638-4762 Map

Fax (617) 638-6170

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDL12105 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063842052

Mohammad Assaggaf's National Provider Identifier is 1063842052, issued on Nov 12, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Nov 12, 2013.