Individual
DR. EIHAB MOUSLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 NEWTON ST, SUITE 217, BOSTON, MA 02118-2308
(617) 638-4762
Mailing address
2 BANKS PL, UNIT 217, MELROSE, MA 02176-6145
(617) 893-3389
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL12448
MA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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