Individual
MOUSTAFA MOUSSALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
2495 INTERLACHEN LN, WESTLAKE, OH 44145-4381
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
57.249624
OH
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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