Mousavian, Mohammad M
Mousavian, Mohammad M is an individual health care provider with primary practice located at 55 Fruit St Bldg Suite230 , Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Mousavian, Mohammad M can be contacted via phone (617) 726-2741.Contact Information
Primary practice address
55 Fruit St Bldg Suite230
Boston MA 02114-2621
Phone: (617) 726-2741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DL14005 | Massachusetts |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DN1858982 | Massachusetts |
Profile Details
| NPI number | 1174182414 |
|---|---|
| LBN Legal business name | Mousavian, Mohammad M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2019 |
| Last updated | Jul 1st, 2021 - about 3 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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