Idriss El Koussaimi M.D.

NPI 1164695029 - Internal Medicine - 207R00000X

NPI Details
NPI 1164695029
Gender Male
Enumeration Date 04/10/2008
Last Updated 05/25/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
171 MAIN ST
SUITE 203
ASHLAND MA, 01721-1187, US
Phone (508) 881-3029
Fax (508) 881-1752
Business Location
479 WASHINGTON ST
HOLLISTON MA, 01746-1828, US
Phone (508) 429-2377
Fax (617) 568-4780
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 247126
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According to our database, Idriss El Koussaimi M.D. NPI is 1164695029, taxonomy code is 207R00000X and license number is 247126, license state is located at Massachusetts. Idriss El Koussaimi M.D. physically located at 171 Main St, Ashland MA, 01721-1187. NPI Number Idriss El Koussaimi M.D. has the Individual type.

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1164695029 NPI number is provided on an as is basis without warranty of any kind. 1164695029 is maintained by the National Plan & Provider Enumeration System. The contents of Idriss El Koussaimi M.D. are for informational purposes only.