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Provider Information for 1912062670



MOHAMED HEGAZI DMD

Gender: MALE

Individual NPI: 1912062670

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1912062670
Enumeration Date 2006-12-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 50 DERBY ST
HINGHAM, MA 02043-3740
United States

Phone: 781-749-3030 | Fax: 781-749-8510
View Map External Link
Primary Practice Address 50 DERBY ST
HINGHAM, MA 02043-3740
United States

Phone: 781-749-3030 | Fax: 781-749-8510
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice MA 20390
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location