Individual
MU'TAZ FAHID MEZEL ABUALSHA'R
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
1619 COMMONWEALTH AVE APT 1, BOSTON, MA 02135-4229
(346) 492-1191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
293584
MA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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