Individual
BASHAR GHOUJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118
(617) 358-8777
Mailing address
39 FENTON ST UNIT 4, BOSTON, MA 02122-2844
(646) 494-9133
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DF11481
MA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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