Provider Demographics
NPI:1295997880
Name:ALJAABARI, MOHAMED AZZAM (MB BCH BAO MRCPI)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:AZZAM
Last Name:ALJAABARI
Suffix:
Gender:M
Credentials:MB BCH BAO MRCPI
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST # 108
Mailing Address - Street 2:TUFTS MEDICAL CENTER - DIVISION OF CARDIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-2273
Mailing Address - Fax:617-636-4769
Practice Address - Street 1:800 WASHINGTON ST # 108
Practice Address - Street 2:TUFTS MEDICAL CENTER - DIVISION OF CARDIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-2273
Practice Address - Fax:617-636-4769
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program