# MOSAM CARDIOVASCULAR SURGERY ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205826948
- **Authorized official:** MOHAMMAD ALI NOFICY MD (MD)
- **Authorized official phone:** (301) 618-2089

## Contact information

- **Practice address:** 3001 HOSPITAL DR, 4TH FLOOR, CHEVERLY, MD 20785-1189
- **Practice address phone:** (301) 618-2089
- **Practice address fax:** (301) 618-6490
- **Mailing address:** 6510 KENILWORTH AVE, \#2500, RIVERDALE, MD 20737-1339
- **Mailing address phone:** (301) 618-2089
- **Mailing address fax:** (301) 618-6490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 08/22/2020