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Individual

DR. RIZKALLA A. MOUCHATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 CONGRESS ST, SUITE 1H, QUINCY, MA 02169-0908
(617) 786-0066
(617) 786-7471
Mailing address
500 CONGRESS ST, SUITE 1H, QUINCY, MA 02169-0908
(617) 786-0066
(617) 786-7471

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
48377
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
48377
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3012336
MA
Enumeration date
07/09/2006
Last updated
05/11/2016
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