Individual
AALIA FATHIMA MOHAMED GHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
(207) 858-2415
Mailing address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
291422
MA
Other
Enumeration date
08/19/2018
Last updated
06/08/2022
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