Basic Information
Provider Information
NPI: 1902841596
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMDY
FirstName: OSAMA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 WEBB AVE
Address2:  
City: WELLESLEY
State: MA
PostalCode: 024815415
CountryCode: US
TelephoneNumber: 7812376667
FaxNumber: 6177322452
Practice Location
Address1: 1 JOSLIN PL
Address2:  
City: BOSTON
State: MA
PostalCode: 022155306
CountryCode: US
TelephoneNumber: 6177322400
FaxNumber: 6177322452
Other Information
ProviderEnumerationDate: 06/18/2006
LastUpdateDate: 02/24/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X213759MAY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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