Tarek M Mousa Physician PC

NPI #1295166973 in Suffern, New York

Provider Information

NPI Number: 1295166973
Entity Type: Organization
Organization Name: Tarek M Mousa Physician PC
Primary Specialty: Specialist
Enumeration Date: Dec 6, 2013
Last Updated: Dec 6, 2013

Practice Location

Address: 156 ROUTE 59
Address 2: UNIT B2
City: Suffern
State: New York
ZIP Code: 10901-5005
Phone: (973) 784-4663

Authorized Official

Name: NITA PATEL
Title: MANAGER
Phone: (973) 784-4663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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