Mansour, Moussa Chafic

Mansour, Moussa Chafic is an individual health care provider with primary practice located at 55 Fruit St Electrophysiology Lab Arrhythmia Service Grb 109, Boston MA 02114-2621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mansour, Moussa Chafic can be contacted via phone (617) 726-5067.

Contact Information

Primary practice address
55 Fruit St Electrophysiology Lab Arrhythmia Service Grb 109 Boston MA 02114-2621
Fax: (617) 724-1241
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 161196 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 161196 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 161196 Massachusetts

Profile Details

NPI number 1588649560
LBN Legal business name Mansour, Moussa Chafic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 16th, 2012 - about 12 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 1588649560 NPPES
Massachusetts Other J24554 BCBS MA
Massachusetts MEDICAID 0190811 BCBS MA
Massachusetts Other 161196 BCBS MA

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