Individual
DR. SANUSI MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(508) 460-3250
(508) 453-8152
Mailing address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-5000
(508) 453-8152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN284005
MA
363LA2200X
Adult Health Nurse Practitioner
RN284005
MA
Other
Enumeration date
01/09/2018
Last updated
11/02/2023
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