Individual
SULEIMAN N MUSTAFA-KUTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 HARRISON AVE, YACC5, BOSTON, MA 02118-4001
(617) 414-4841
(617) 414-5741
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
82203
MA
2080P0205X
Pediatric Endocrinology Physician
Primary
82203
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110057627A
—
MA
Enumeration date
11/21/2005
Last updated
07/09/2014
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