Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 273000 | MA |
NPI | 1043528250 |
---|---|
Provider Name | Maysaa El Zoghbi |
First Address | Boston, MA 02215-4315 |
Second Address | Plymouth, MA 02360-2183 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2010 |
Last Update Date | 27/07/2021 |