Provider Demographics
NPI:1427660760
Name:ELHOUSSAINY, ALSHAIMAA KHALED
Entity type:Individual
Prefix:
First Name:ALSHAIMAA
Middle Name:KHALED
Last Name:ELHOUSSAINY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 STONE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2821
Mailing Address - Country:US
Mailing Address - Phone:908-659-6749
Mailing Address - Fax:
Practice Address - Street 1:72 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-1354
Practice Address - Country:US
Practice Address - Phone:508-543-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04098900183500000X
MAPH1000628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist