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

Mohammad Assaggaf

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063842052

Mohammad Assaggaf is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2013.

Licensed in
MA
In the registry since
2013

Practice location Address checks out

100 E Newton St Dept OF Periodontology
Boston, MA 02118-2308
Phone: (617) 638-4762
Fax: (617) 638-6170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence DL12105 (MA)

Record details

NPI number1063842052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 12, 2013
Last updated in NPPESNovember 12, 2013
Mailing address100 E Newton St, Department Of Periodontology, Boston, MA 02118-2308

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