Active NPIIndividual providerSole proprietor

Dr. Dima Ezzedine, MD

Obstetrics & Gynecology in Plymouth, Massachusetts

NPI Number1922480391
Practice location
45 Home Depot Dr Ste 100, Plymouth, MA 02360-2669
Fax
973-290-7520
Last updated
February 8, 2023

Dima Ezzedine is an Obstetrics & Gynecology based in Plymouth, MA. Dima Ezzedine practices in Plymouth, MA and has the professional credentials of MD. The NPI Number for Dima Ezzedine is 1922480391 and holds a License No. 264000 (MA). The current practice location address for Dima Ezzedine is 45 Home Depot Dr Ste 100, Plymouth, MA 02360-2669 and can be reached out via phone at 781-762-0471 and via fax at 973-290-7520.

Provider Profile Details

NPI Number
1922480391
Provider Name
Dima Ezzedine
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
45 Home Depot Dr Ste 100, Plymouth, MA 02360-2669
Phone Number
781-762-0471
Fax Number
973-290-7520
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2015
Last Update Date
February 8, 2023
Certification Date
February 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Home Depot Dr Ste 100
Plymouth, MA 02360-2669
Zip
02360-2669
Phone Number
781-762-0471
Fax Number
973-290-7520
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
115 Lincoln St
Framingham, MA 01702-6358
City
Framingham
State
MA
Zip
01702-6358
Phone Number
508-383-1000

License Information

License Number
264000
License State
MA
Taxonomy
Obstetrics & Gynecology · 207V00000X · 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 Dr. Dima Ezzedine, MD?

The NPI number of Dr. Dima Ezzedine, MD is 1922480391. It was assigned on June 22, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Dima Ezzedine, MD?

Dr. Dima Ezzedine, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in MA under license number 264000.

Where does Dr. Dima Ezzedine, MD practice?

The practice location is 45 Home Depot Dr Ste 100, Plymouth, MA 02360-2669. The office can be reached at 781-762-0471 (phone) or 973-290-7520 (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 1922480391 directly on the NPPES registry website.

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