Individual
OMER MOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-4929
(617) 414-7759
Mailing address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-4929
(617) 414-7759
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
252045
MA
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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