Basic Information
Provider Information
NPI: 1699938449
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALNIJOUMI
FirstName: MOHAMMED
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 41 MALL RD
Address2: LAHEY HOSPITAL AND MEDICAL CENTER
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817448480
FaxNumber: 7817443443
Practice Location
Address1: 41 MALL RD
Address2: LAHEY HOSPITAL AND MEDICAL CENTER
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817448480
FaxNumber: 7817443443
Other Information
ProviderEnumerationDate: 07/02/2008
LastUpdateDate: 08/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X036128365ILN Allopathic & Osteopathic PhysiciansHospitalist 
207RP1001X262367MAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207R00000X036128365ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001X2012021506MON Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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