Mu'Taz Fahid Mezel Abualsha'R, MBBS
Internal Medicine in Brighton, MA. Individual provider (NPI-1).
NPI number1609500586
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1609500586
- Entity type
- Individual (NPI-1)
- Name
- Mu'Taz Fahid Mezel Abualsha'R
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2022
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 293584 | MA | Yes |
Practice location
736 Cambridge StBrighton, MA 02135-2907
Phone 617-789-3000
Mailing address
1619 Commonwealth Ave Apt 1Boston, MA 02135-4229
Phone 346-492-1191
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