Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dima Ezzedine, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1922480391

Dr. Dima Ezzedine, MD is an Obstetrics/Gynecology in Plymouth, Massachusetts. Qualified in 2010, 16 years ago. Practices with Greater Boston Urology LLC, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

45 Home Depot Dr Ste 100
Plymouth, MA 02360-2669
Phone: (781) 762-0471
Fax: (973) 290-7520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 264000 (MA)

Record details

NPI number1922480391
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2015
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023
Mailing address115 Lincoln St, Framingham, MA 01702-6358

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Greater Boston Urology Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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