Provider Demographics
NPI:1851556286
Name:HABIB, MUZZAMAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MUZZAMAL
Middle Name:
Last Name:HABIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 COURTHOUSE LN UNIT 15
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1732
Mailing Address - Country:US
Mailing Address - Phone:978-666-4200
Mailing Address - Fax:888-561-3002
Practice Address - Street 1:4 COURTHOUSE LN UNIT 15
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1732
Practice Address - Country:US
Practice Address - Phone:978-666-4200
Practice Address - Fax:888-561-3002
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113617207R00000X
MA243061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine