Mohammad Shahabuddin M.D.

NPI 1063493211 - Pediatrics - 208000000X

NPI Details
NPI 1063493211
Gender Male
Enumeration Date 11/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2100 DORCHESTER AVE
DORCHESTER CENTER MA, 02124-5615, US
Phone (617) 296-4000
Fax (617) 474-3820
Business Location
165 PURITAN DR
QUINCY MA, 02169-1737, US
Phone (617) 472-4519
Fax
Toxanomy
Taxonomy Code 208000000X
License State Massachusetts
License Number 35707
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According to our database, Dr. Mohammad Shahabuddin M.D. NPI is 1063493211, taxonomy code is 208000000X and license number is 35707, license state is located at Massachusetts. Mohammad Shahabuddin M.D. physically located at 2100 Dorchester Ave, Dorchester Center MA, 02124-5615. NPI Number Mohammad Shahabuddin M.D. has the Individual type.

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1063493211 NPI number is provided on an as is basis without warranty of any kind. 1063493211 is maintained by the National Plan & Provider Enumeration System. The contents of Mohammad Shahabuddin M.D. are for informational purposes only.