Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 04614 | NH |
N | 1223S0112X | Oral and Maxillofacial Surgeon | DN1858814 | MA |
NPI | 1053761254 |
---|---|
Provider Name | Dr. Mohamed El-Ounsi |
First Address | Chestnut Hill, MA 02467-1303 |
Second Address | Manchester, NH 03103-3557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2016 |
Last Update Date | 02/08/2021 |