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Individual

MUSSA MOHAMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-8655
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(617) 888-4178

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
277073
MA
208600000X
Surgery Physician
Primary
277073
MA
208D00000X
General Practice Physician
291729
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/07/2014
Last updated
06/29/2022
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