Basel Moussa, MD

NPI #1467563429 in Fairview Park, Ohio

Provider Information

NPI Number: 1467563429
Entity Type: Individual
Name: Basel Moussa, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Aug 31, 2006
Last Updated: Sep 7, 2007

Practice Location

Address: 20997 LORAIN RD
City: Fairview Park
State: Ohio
ZIP Code: 44176
Phone: (440) 356-6666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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