Individual
DR. MAHMOUD AHMAD MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FAAP
Contact information
Practice address
1409 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3109
(301) 797-4060
(301) 797-4197
Mailing address
1409 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3109
(301) 797-4060
(301) 797-4197
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0061762
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406134900
—
MD
Enumeration date
10/11/2006
Last updated
07/20/2012
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