Individual
OMAR MOSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 WALES AVE NW, MASSILLON, OH 44646-2345
(330) 834-4154
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
1295397909
OH
Other
Enumeration date
07/02/2019
Last updated
07/22/2024
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