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Contact Information

MAGDY S BADERELDIN, MD AND PA
59 TOWNSEND ST
ROXBURY, MA02119-1318
 Phone: 617-442-8760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MAGDY S BADERELDIN · (Male)

NPI # 1205034469
Status Active
Credentials MD AND PA
Entity Individual
Enumeration date 07/10/2007
Last updated 04/21/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MA License # PA3743
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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