Provider Demographics
NPI:1952534463
Name:AL-MOHAMMADI, RAMZI A (RAMZI AL-MOHAMMADI)
Entity Type:Individual
Prefix:
First Name:RAMZI
Middle Name:A
Last Name:AL-MOHAMMADI
Suffix:
Gender:M
Credentials:RAMZI AL-MOHAMMADI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 NORTHERN AVE
Mailing Address - Street 2:416 PARK LANE SEAPORT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-2052
Mailing Address - Country:US
Mailing Address - Phone:617-955-9644
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA241322282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA241322OtherLICENSE NUMBER