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1376038562
LAITH NIDAL HATTAR
WORCESTER, MA
NPI
1376038562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MA 276473)
Enumeration Date
2018-06-29
Last Update Date
2022-11-02
Business Address
LAITH NIDAL HATTAR MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 617-306-6593
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Mailing Address
LAITH NIDAL HATTAR MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-1000
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