Provider Demographics
NPI:1336039148
Name:SALLOUM, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SALLOUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SCARLET CT
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-3625
Mailing Address - Country:US
Mailing Address - Phone:617-413-9317
Mailing Address - Fax:
Practice Address - Street 1:16 SCARLET CT
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-3625
Practice Address - Country:US
Practice Address - Phone:617-413-9317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter