WISAM AL-MUTAWALLI

SYRACUSE, NY
NPI1164005526
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-04
Last Update Date2021-05-04
Business Address
WISAM AL-MUTAWALLI MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 978-221-1081
Mailing Address
WISAM AL-MUTAWALLI MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number:
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