Individual
AMAL MOUSA ABU-GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-7599
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
31353
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029715100
—
DC
05
—
366200400
—
MD
01
—
370016693
MEDICARE RAILROAD
—
05
—
5840520
—
VA
Enumeration date
07/12/2005
Last updated
02/24/2012
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