Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DL13377 | MA |
NPI | 1144745795 |
---|---|
Provider Name | Faris Zainalabedeen Jamjoom |
First Address | Boston, MA 02115-5819 |
Second Address | Boston, MA 02115-5819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2017 |
Last Update Date | 04/08/2017 |