Individual
MOHSEN JALALI ROUDSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 HILLSIDE ST, FALL RIVER, MA 02720-5211
(508) 235-7200
Mailing address
1 REGENCY PLZ APT 200, PROVIDENCE, RI 02903-3126
(617) 851-3872
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
285260
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2016
Last updated
10/12/2021
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