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Individual

MOHAMMED ELBAGIR EISSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1301 BRIDGEVILLE HWY, SEAFORD, DE 19973-1616
(302) 629-9197
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I3-0001420
DE
152W00000X
Optometrist
TA2675
MD

Other

Enumeration date
07/12/2019
Last updated
11/19/2021
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