Provider Demographics
NPI:1376241455
Name:ALZURQI, AML ABDULLAH JR
Entity Type:Individual
Prefix:
First Name:AML
Middle Name:ABDULLAH
Last Name:ALZURQI
Suffix:JR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WASHINGTON ST APT 16
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5333
Mailing Address - Country:US
Mailing Address - Phone:617-749-8166
Mailing Address - Fax:
Practice Address - Street 1:100 WASHINGTON ST APT 16
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5333
Practice Address - Country:US
Practice Address - Phone:617-749-8166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist