Individual
DR. MUSTAK Y VAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19060 PARKWOOD LN, BROWNSTOWN TWP, MI 48183-6804
(248) 229-7065
(718) 934-7500
Mailing address
2647 CONEY ISLAND AVE, BROOKLYN, NY 11223-5502
(248) 229-7065
(718) 934-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301085038
MI
Other
Enumeration date
07/30/2006
Last updated
03/29/2010
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