Organization
MOSAM CARDIOVASCULAR SURGERY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ALI NOFICY MD (MD)
(301) 618-2089
Entity
Organization
Contact information
Practice address
3001 HOSPITAL DR, 4TH FLOOR, CHEVERLY, MD 20785-1189
(301) 618-2089
(301) 618-6490
Mailing address
6510 KENILWORTH AVE, #2500, RIVERDALE, MD 20737-1339
(301) 618-2089
(301) 618-6490
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/25/2005
Last updated
08/22/2020
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