Individual
DR. BASSAM MAWLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1145 MAIN ST, SUITE 107, SPRINGFIELD, MA 01103-2143
(413) 358-0050
Mailing address
37 CHERRELYN ST, SPRINGFIELD, MA 01104-2441
(413) 732-7549
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
3120
MA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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