Individual
MUTHSOUS MARCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1351 HYDE PARK AVE, HYDE PARK, MA 02136-2713
(617) 360-7960
(617) 360-7961
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1068
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
RN251799
MA
363L00000X
Nurse Practitioner
Primary
RN251799
MA
Other
Enumeration date
11/06/2017
Last updated
08/17/2024
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