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DR. MAITHAM AMMORY MOSLIM MOSLIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1415 PORTLAND AVE STE 245, ROCHESTER, NY 14621-3022
(585) 922-5973
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
337815
NY
208600000X
Surgery Physician
35127433
OH
2086X0206X
Surgical Oncology Physician
Primary
337815
NY

Other

Enumeration date
06/21/2013
Last updated
06/23/2025
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