NPI 1104434620

Moustafa Moussally

Practitioner General Practice Physician Cleveland, OH

Practice location

Address: 9500 Euclid Ave, Cleveland, OH 44195-0001
Phone: (216) 444-2200
Mailing address: 2495 Interlachen Ln, Westlake, OH 44145-4381

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 57.249624 (OH)

Other General Practice providers in Ohio →

Registry record

NPI: 1104434620
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2020
Record last updated: 21 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.