Individual
DR. MAHMOUD M ABU-ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-0288
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-0288
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
20-27809
SC
2084N0400X
Neurology Physician
Primary
T290291
MA
Other
Enumeration date
07/14/2006
Last updated
08/12/2021
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