1073703104 NPI number — NADEEM ALDUAIJ M.D., M.P.H.

Table of content: NADEEM ALDUAIJ M.D., M.P.H. (NPI 1073703104)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073703104 NPI number — NADEEM ALDUAIJ M.D., M.P.H.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALDUAIJ
Provider First Name:
NADEEM
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D., M.P.H.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073703104
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 425905
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMBRIDGE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02142-0017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-595-2860
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NOFA TOWERS, APT 10A
Provider Second Line Business Practice Location Address:
BLOCK 2, COASTAL ROAD
Provider Business Practice Location Address City Name:
MAHBOULA
Provider Business Practice Location Address State Name:
AHMADI
Provider Business Practice Location Address Postal Code:
51008
Provider Business Practice Location Address Country Code:
KW
Provider Business Practice Location Address Telephone Number:
96550603031
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  231120 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207PT0002X , with the licence number: 231120 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)