Provider Demographics
NPI:1306829510
Name:EL HADIDY, MAHMOUD A (DMD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MAHMOUD
Middle Name:A
Last Name:EL HADIDY
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Gender:M
Credentials:DMD, PHD
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Mailing Address - Street 1:311 COMMONWEALTH AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-1926
Mailing Address - Country:US
Mailing Address - Phone:617-267-4777
Mailing Address - Fax:617-267-1277
Practice Address - Street 1:311 COMMONWEALTH AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-1926
Practice Address - Country:US
Practice Address - Phone:617-267-4777
Practice Address - Fax:617-267-1277
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA193531223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery