Individual
MR. FATH ELRAHMAN MOHAMED MATAR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
282 PLEASANT MEADOW BLVD APT 11, STOW, OH 44224-4969
(718) 971-0270
Mailing address
282 PLEASANT MEADOW BLVD APT 11, STOW, OH 44224-4969
(718) 971-0270
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
VD527562
OH
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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