Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 22121 | MD |
NPI | 1023218377 |
---|---|
Provider Name | Dr. Francis Jay Mussai |
First Address | Baltimore, MD 21287-0001 |
Second Address | Baltimore, MD 21287-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 24/07/2007 |