Individual
DAVID MOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 724-5600
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
269629
MA
2084P0800X
Psychiatry Physician
Primary
297415
NY
2084P0800X
Psychiatry Physician
61163
AZ
2084P0800X
Psychiatry Physician
L-259313
MA
2084P0800X
Psychiatry Physician
ME146545
FL
Other
Enumeration date
06/05/2014
Last updated
02/22/2021
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