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1164005526
WISAM AL-MUTAWALLI
CAMILLUS, NY
NPI
1164005526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 332191)
Enumeration Date
2021-05-04
Last Update Date
2024-10-23
Business Address
WISAM AL-MUTAWALLI MD
208 TOWNSHIP BLVD STE 100
CAMILLUS, NY 13031
Phone number: 315-551-6000
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Mailing Address
WISAM AL-MUTAWALLI MD
208 TOWNSHIP BLVD STE 100
CAMILLUS, NY 13031
Phone number: 315-551-6000
Copy
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