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Individual
MARK N. F. MASSOUD
Active
Individual
MARK N. F. MASSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065612
IL
207RN0300X
Nephrology Physician
Primary
12240898-1205
UT
Other
Enumeration date
06/25/2014
Last updated
05/27/2021
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