Moussa, Mohamad
Moussa, Mohamad is an individual health care provider with primary practice located at 615 6Th Avenue , Altoona PA 16002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moussa, Mohamad can be contacted via phone (814) 944-7383.Contact Information
Primary practice address
615 6Th Avenue
Altoona PA 16002
Phone: (814) 944-7383
Fax: (814) 944-7608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD037762L | Pennsylvania |
Profile Details
| NPI number | 1669576880 |
|---|---|
| LBN Legal business name | Moussa, Mohamad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Jun 14th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669576880 | NPPES |
| Pennsylvania | Other | P0000893 | GATEWAY |
| Pennsylvania | Other | 075608 | GATEWAY |
| Pennsylvania | MEDICAID | 0006809800001 | GATEWAY |
| Pennsylvania | Other | 19834 | GATEWAY |
| Pennsylvania | Other | 001537 | GATEWAY |
| Pennsylvania | Other | 203339 | GATEWAY |
| Pennsylvania | Other | 34161 | GATEWAY |
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