Individual
MR. BADER MASOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
15 W ELIZABETH ST, SKANEATELES, NY 13152-1103
(315) 685-1040
Mailing address
15 W ELIZABETH ST, SKANEATELES, NY 13152-1103
(315) 685-1040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011648-1
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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