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1255446217
MOUAZ H AL-MALLAH
DETROIT, MI
NPI
1255446217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MA 228285)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
MOUAZ H AL-MALLAH M.D.
2799 W GRAND BLVD # K14
DETROIT, MI 48202-2608
Phone number: 313-916-2871
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Mailing Address
MOUAZ H AL-MALLAH M.D.
10 CONNORS AVENUE APT A-103
MANSFIELD, MA 02048
Phone number: 313-916-2871
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