Individual
DR. FADY MOUSTARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
43494 WOODWARD AVE STE 202, BLOOMFIELD HILLS, MI 48302-5054
(248) 334-5444
Mailing address
PO BOX 724, DEARBORN, MI 48121-0724
(989) 980-4995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2022-01683
NC
208600000X
Surgery Physician
35. 092350
OH
208600000X
Surgery Physician
Primary
4301108768
MI
Other
Enumeration date
06/02/2009
Last updated
12/18/2024
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