Omar Ezziddin, M.D.

Anesthesiology Physician · Springfield, MA

Individual Active NPI

NPI number 1821232901

Practice location

908 Allen St
Springfield, MA 01118-2533
Phone
(413) 796-7494

Open in Google Maps

NPI record

NPI
1821232901
Entity type
Individual (Type 1)
Enumeration date
April 21, 2009
Last updated
November 27, 2023
Certified
November 27, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X 036131711 IL
Pediatric Anesthesiology Physician 207LP3000X 036131711 IL

Other practice locations (1)

  • 55 Lake Ave N, Worcester, MA 01655-0002 · (508) 334-3271

About Dr. Ezziddin

Omar Ezziddin, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 908 Allen St, Springfield, MA 01118-2533. The NPI number 1821232901 was assigned on April 21, 2009 and the record was last updated on November 27, 2023.

Dr. Ezziddin lists 2 licenses in the registry: #036131711 (IL) for Anesthesiology Physician; #036131711 (IL) for Pediatric Anesthesiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Omar Ezziddin, M.D.?

The NPI number is 1821232901.

What is the phone number of Dr. Ezziddin?

The phone number listed for the practice location is (413) 796-7494.

Where is Dr. Ezziddin located?

908 Allen St, Springfield, MA 01118-2533.

What is the taxonomy code for Dr. Ezziddin?

The primary taxonomy code is 207L00000X – Anesthesiology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Anesthesiology Physician providers in Springfield

All Anesthesiology Physician providers in Springfield, MA →