Individual
DR. BASSEL H MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-5979
(508) 334-8466
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
257776
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110116426A
—
MA
Enumeration date
06/17/2009
Last updated
11/17/2020
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