Provider Demographics
NPI:1992786180
Name:KAMEL, MORDECHAI MORTON (MD, FRCS(C), FAAOS)
Entity type:Individual
Prefix:DR
First Name:MORDECHAI
Middle Name:MORTON
Last Name:KAMEL
Suffix:
Gender:M
Credentials:MD, FRCS(C), FAAOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2910
Mailing Address - Country:US
Mailing Address - Phone:413-303-0479
Mailing Address - Fax:206-203-3450
Practice Address - Street 1:35 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2910
Practice Address - Country:US
Practice Address - Phone:413-303-0479
Practice Address - Fax:206-203-3450
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA73750207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3081435Medicaid
MA3081435Medicaid
MAE27767Medicare UPIN