Provider Demographics
NPI:1669875928
Name:ALNORI, OMAR FAWAZ (MD)
Entity type:Individual
Prefix:MR
First Name:OMAR
Middle Name:FAWAZ
Last Name:ALNORI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:850 HARRISON AVE, DOWLING 2NORTH
Mailing Address - Street 2:ORTHOPEDIC SURGERY DEPARTMENT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2526
Mailing Address - Country:US
Mailing Address - Phone:617-638-8934
Mailing Address - Fax:617-414-4003
Practice Address - Street 1:850 HARRISON AVE, DOWLING 2NORTH
Practice Address - Street 2:ORTHOPEDIC SURGERY DEPARTMENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2526
Practice Address - Country:US
Practice Address - Phone:617-638-8934
Practice Address - Fax:617-414-4003
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA261099390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program