Individual
ABDEL-FATAH MASSOUD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
1 MEDICAL CENTER DRIVE, FAIRMONT, WV 26301
(304) 623-3461
(304) 626-7010
Mailing address
1 MEDICAL CENTER DRIVE, FAIRMONT, WV 26301
(304) 623-3461
(304) 626-7010
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
16739
WV
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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