Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 18583 | MA |
Y | 213EG0000X | General Practice | 18583 | MA |
NPI | 1003075409 |
---|---|
Provider Name | Dr. Amr M. Fawzy Abdelrazek |
First Address | Weymouth, MA 02190-1250 |
Second Address | Weymouth, MA 02190-1250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 02/06/2008 |