MOHAMAD TANTA

WORCESTER, MA
NPI1225734122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA100624)
Enumeration Date2023-02-01
Last Update Date2024-06-07
Business Address
MOHAMAD TANTA PA
19 FOSTER ST
WORCESTER, MA 01608-1715
Phone number: 508-890-8855
Mailing Address
MOHAMAD TANTA PA
19 FOSTER ST
WORCESTER, MA 01608-1715
Phone number: 508-890-8855
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