Individual
MR. MUSTAFA HAROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 LOWER FAYETTEVILLE RD STE B, NEWNAN, GA 30265-1133
(678) 631-4610
(678) 631-4611
Mailing address
725 ALBANY ST, SHAPIRO 5 & 6, BOSTON, MA 02118-2526
(617) 414-5951
(617) 414-9251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
259652
MA
207RG0100X
Gastroenterology Physician
Primary
85361
GA
Other
Enumeration date
06/24/2014
Last updated
05/14/2020
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