Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 37040 | MA |
NPI | 1043409295 |
---|---|
Provider Name | Dr. Maher M Samaha |
First Address | Lynnfield, MA 01940-1340 |
Second Address | Lynnfield, MA 01940-1340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 01/09/2009 |