Provider Demographics
NPI:1033166566
Name:ZOUHDI HAJJAJ, M.D.
Entity Type:Organization
Organization Name:ZOUHDI HAJJAJ, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOUHDI
Authorized Official - Middle Name:AZMI
Authorized Official - Last Name:HAJJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-943-5114
Mailing Address - Street 1:PO BOX 1301
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02331-1301
Mailing Address - Country:US
Mailing Address - Phone:508-760-2054
Mailing Address - Fax:508-760-1218
Practice Address - Street 1:21 AARONS WAY UNIT 2
Practice Address - Street 2:
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-2596
Practice Address - Country:US
Practice Address - Phone:508-760-2054
Practice Address - Fax:508-760-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-29
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM19206OtherBLUE SHIELD
MA9761501Medicaid
MAM19206OtherBLUE SHIELD
MAM21820Medicare PIN