Individual
MAHMOUD MOUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 376-5200
Mailing address
5584, ALINE, BROSSARD, QC 418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
292552
NY
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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