Individual provider · Type 1 NPI

Abdulhamied Al Faddagh, MD

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

NPI number 1497135149 Active

Practice location

330 Brookline Ave, Deac 307C
Boston, MA 02215-5400

Fax (617) 632-8261

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X264384 (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 1497135149

Abdulhamied Al Faddagh, MD's National Provider Identifier is 1497135149, issued on Jun 8, 2015. 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 Jul 11, 2015.