Individual
DR. FUAD B MUDAWWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 LOCUST ST, SUITE 201, FLORENCE, MA 01062-2003
(413) 586-0769
(413) 584-0392
Mailing address
269 LOCUST ST, SUITE 201, NORTHAMPTON, MA 01062-2003
(413) 586-0769
(413) 584-0392
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
41712
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24219108
—
MA
Enumeration date
11/02/2005
Last updated
02/13/2015
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