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Individual

DR. MOHAMAD MOUSSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
615 6TH AVENUE, ALTOONA, PA 16002
(814) 944-7383
(814) 944-7608
Mailing address
615 6TH AVENUE, PEDIATRIC HEALTHCARE ASSOCIATES, ALTOONA, PA 16002
(814) 944-7383
(814) 944-7608

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD037762L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006809800001
PA
01
001537
BS
PA
01
075608
MEDT
PA
01
19834
GEISINGER
PA
01
203339
UPMC BEST
PA
01
34161
HEALTH ASSUR
PA
01
P0000893
GATEWAY
PA
Enumeration date
09/08/2006
Last updated
06/14/2011
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