Individual
DR. GHADA AL MUBARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, SURGERY DEPT, TUFTS-NEMC, BOSTON, MA 02111-1526
(617) 636-5891
Mailing address
790 EAST FIFTH STREET, COQUILLE, OR 97423-1666
(541) 396-3111
(541) 396-1783
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD170379
MA
Other
Enumeration date
02/06/2008
Last updated
08/14/2015
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