Individual
MOUSTAFA W. MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
923 5TH AVE APT 1A, NEW YORK, NY 10021-2681
(212) 832-0444
(212) 832-0009
Mailing address
923 5TH AVE APT 1A, NEW YORK, NY 10021-2681
(212) 832-0444
(212) 832-0009
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
266675
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
266675
NY
Other
Enumeration date
03/30/2011
Last updated
12/13/2022
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