Labib, Mutaz M

Labib, Mutaz M is an individual health care provider with primary practice located at 111 Brewster Street Memorial Hospital Of Rhode Island, Pawtucket RI 02860. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Labib, Mutaz M can be contacted via phone (401) 729-3481.

Contact Information

Primary practice address
111 Brewster Street Memorial Hospital Of Rhode Island Pawtucket RI 02860
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 230630 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD13433 Rhode Island
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD13433 Rhode Island

Profile Details

NPI number 1366592487
LBN Legal business name Labib, Mutaz M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366592487 NPPES
Rhode Island MEDICAID ML82503
Rhode Island Other 000361606

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