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Individual

DR. MOHAMMAD MUJTABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 604-5483
(718) 604-5527
Mailing address
PO BOX 26246, NEW YORK, NY 10087-6246
(718) 604-5574
(718) 604-5527

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
211876
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
211876
STATE LICENSE
NY
Enumeration date
03/29/2007
Last updated
07/08/2007
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