Individual
MOURAD S FAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BROOKDALE PLAZA, BROOKLYN, NY 11212
(718) 240-5353
(718) 240-6896
Mailing address
1 BROOKDALE PLAZA, 7L, BROOKLYN, NY 11212
(718) 240-5353
(718) 240-6896
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
205653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01749408
—
NY
Enumeration date
06/10/2006
Last updated
04/19/2013
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