Individual
DR. WISSAM H. MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
268570
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110108662A
—
MA
05
—
3106013
—
NH
Enumeration date
06/18/2012
Last updated
04/17/2026
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