Active NPIIndividual provider

Mohamed H Elnazer

Dentist, General Practice in Worcester, Massachusetts

NPI Number1457784407
Practice location
1438 Grafton St, Worcester, MA 01604-2721
Fax
508-753-8048
Last updated
May 9, 2016

Mohamed Hazem Farid Elnazer is a Dentist, General Practice based in Worcester, MA. Mohamed Hazem Farid Elnazer practices in Worcester, MA. The NPI Number for Mohamed Hazem Farid Elnazer is 1457784407 and holds a License No. ETN192 (TX). The current practice location address for Mohamed Hazem Farid Elnazer is 1438 Grafton St, Worcester, MA 01604-2721 and can be reached out via phone at 508-753-5488 and via fax at 508-753-8048.

Provider Profile Details

NPI Number
1457784407
Provider Name
Mohamed Hazem Farid Elnazer
Provider Entity Type
Individual
Gender
Male
Address
1438 Grafton St, Worcester, MA 01604-2721
Phone Number
508-753-5488
Fax Number
508-753-8048
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2013
Last Update Date
May 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1438 Grafton St
Worcester, MA 01604-2721
Zip
01604-2721
Phone Number
508-753-5488
Fax Number
508-753-8048
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
1438 Grafton St
Worcester, MA 01604
City
Worcester
State
MA
Zip
01604
Phone Number
508-735-5488
Fax Number
508-753-8048

License Information

License Number (1)
ETN192
License State (1)
TX
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN1856646
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mohamed H Elnazer?

The NPI number of Mohamed H Elnazer is 1457784407. It was assigned on August 14, 2013 and is currently active in the NPPES registry.

What is the specialty of Mohamed H Elnazer?

Mohamed H Elnazer is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number ETN192.

Where does Mohamed H Elnazer practice?

The practice location is 1438 Grafton St, Worcester, MA 01604-2721. The office can be reached at 508-753-5488 (phone) or 508-753-8048 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457784407 directly on the NPPES registry website.

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