Individual provider · NPI-1

Omar Abdel-Wahab, M.D.

Internal Medicine · Boston, MA

NPI number1023042777
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1023042777
Entity type
Individual (NPI-1)
Name
Omar Abdel-Wahab
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine229108MAYes

Practice location

Wang Ambulatory Care Center 605
15 Parkman Street
Boston, MA 02114

Phone 617-726-7930

Mailing address

10 Emerson Pl
Unit 9j
Boston, MA 02114-2204

Phone 617-726-7930

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