Bahaa M M A A M A Alshawaf | Boston, MA • PECOS Search

Bahaa M M A A M A Alshawaf

Student in an Organized Health Care Education/Training Program

Student, Health Care

1 Kneeland Street, Tufts University-School Of Dental Medicine, Boston, MA 02111

PECOS Enrollment

Based on the most recent information from CMS, provider Bahaa M M A A M A Alshawaf does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1093120081
Provider Type
Individual
Full Name
Alshawaf, Bahaa M M A A M A
Title
Mr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
6/27/2014
Last Updated
1/29/2015

Contact Information

Practice Location

1 Kneeland Street, Tufts University-School Of Dental Medicine, Boston, MA 02111

(617) 636-0309

Mailing Location

1 Kneeland Street, Tufts University-School Of Dental Medicine, Boston, MA 02111

(617) 636-0309

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer