Individual
MOHAMMAD MOFREH S ALTALEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 NORTH CAROLINE STREET / RM 5223, BALTIMORE, MD 21287-0882
(410) 955-3376
Mailing address
414 LIGHT STREET, APT 2702, BALTIMORE, MD 21202
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
D0088616
MD
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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