Doctor Name: | MAGED HABIB |
NPI Number: | 1508867540 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME77394 |
Business Practice Address: | 2300 S Congress Ave Ste 102 Boynton Beach, FL - 33426 |
Business Phone Number: | 5617421944 |
Business Fax Number: | 5617420525 |
Mailing Address: | 2300 S Congress Ave, Ste 102 BOYNTON BEACH |
State: | FL |
Postal Code: | 33426 |
Phone Number: | 5617421944 |
Fax Number: | 5617420525 |
NPI Enumeration Date: | 08/01/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/22/2006 |
NPI Reactivation Date: | 03/29/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME77394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |