Individual
MOHAMMAD D NASSERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 NORTH ST, ARIANA PEDIATRIC NEUROLOGY, HYANNIS, MA 02601-5121
(508) 790-5777
Mailing address
59 TREELINE DR, MARSTONS MILLS, MA 02648-1763
(508) 790-5777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
158445
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185574
—
MA
01
—
158445
TUFTS
MA
01
—
2672549
AETNA
MA
01
—
5689943
CIGNA
MA
01
—
7502746
UNITED HEALTHCARE
MA
01
—
J22677
BCBS
MA
Enumeration date
05/03/2006
Last updated
04/16/2008
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