IndividualActive
Abdulhamied Al Faddagh, M.D.
NPI 1497135149 · Student in an Organized Health Care Education/Training Program · Boston, MA
Provider details
- NPI number
- 1497135149
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 264384 (MA)
Specialties & taxonomies
Student, Health Care
Practice location
330 Brookline Ave
Deac 307c
Boston, MA 02215-5400
Phone: (617) 667-7000
Fax: (617) 632-8261
Approximate (ZIP-level) locationGet directions
Mailing address
330 Brookline Ave
Boston, MA 02215-5400
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2015-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.