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1225734122
MOHAMAD TANTA
WORCESTER, MA
NPI
1225734122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA100624)
Enumeration Date
2023-02-01
Last Update Date
2024-06-07
Business Address
MOHAMAD TANTA PA
19 FOSTER ST
WORCESTER, MA 01608-1715
Phone number: 508-890-8855
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Mailing Address
MOHAMAD TANTA PA
19 FOSTER ST
WORCESTER, MA 01608-1715
Phone number: 508-890-8855
Copy
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