Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 282904 | MA |
NPI | 1447679428 |
---|---|
Provider Name | Mostafa Abousayed |
First Address | North Easton, MA 02356-1000 |
Second Address | North Easton, MA 02356-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2014 |
Last Update Date | 17/07/2020 |