Individual
JON S MOUSSALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-3500
Mailing address
22 CHAUNCY ST, APARTMENT #18, CAMBRIDGE, MA 02138-2425
(617) 233-5368
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
226564
MA
Other
Enumeration date
08/23/2006
Last updated
03/29/2010
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