Individual
DR. HAATEM MOSTAFA REDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
104544
MN
2084N0400X
Neurology Physician
Primary
52343
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
09/16/2008
Last updated
02/15/2012
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