Individual
MOTASEM A AL-YACOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 SCHOOL ST, SUITE 103, PAWTUCKET, RI 02860-5334
(401) 724-4100
Mailing address
333 SCHOOL ST, SUITE 103, PAWTUCKET, RI 02860-5334
(401) 724-4100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
212368
MA
Other
Enumeration date
03/29/2006
Last updated
10/09/2007
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