| Bouhaitha Yousef, | |
|
22 S Greene St, Baltimore, MD 21201-1590 | |
| (848) 467-1419 | |
| Not Available |
| Full Name | Bouhaitha Yousef |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 22 S Greene St, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457988214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D0096932 (Maryland) | Primary |
| Entity Name | University of Maryland Pediatric Associates, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528163912 PECOS PAC ID: 6800888678 Enrollment ID: O20040401000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Bouhaitha Yousef, 7 Windhaven Ct, Monroe Township, NJ 08831-5999 Ph: (848) 467-1419 | Bouhaitha Yousef, 22 S Greene St, Baltimore, MD 21201-1590 Ph: (848) 467-1419 |
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