Individual
RAFIK MANSOUR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 BROOKLINE AVENUE, SUITE A, BOSTON, MA 02215
(617) 739-1151
(617) 278-6905
Mailing address
500 BROOKLINE AVENUE, SUITE A, BOSTON, MA 02215
(617) 739-1151
(617) 278-6905
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50201
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055027
—
MA
Enumeration date
05/25/2006
Last updated
07/08/2007
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