Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 55740 | MA |
NPI | 1487717310 |
---|---|
Provider Name | Dr. Usama Sami Hamdan |
First Address | Westwood, MA 02090-2900 |
Second Address | Westwood, MA 02090-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 08/07/2007 |