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1285623017
MOHAMMAD B TABAIE
SYRACUSE, NY
NPI
1285623017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
208200000X Plastic Surgery
(Licence: NY 135119)
Enumeration Date
2005-10-14
Last Update Date
2007-07-08
Business Address
MOHAMMAD B TABAIE MD
4850 BROAD RD SUITE 2G
SYRACUSE, NY 13215-5100
Phone number: 315-492-5815
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Mailing Address
MOHAMMAD B TABAIE MD
PO BOX 2003
EAST SYRACUSE, NY 13057-4503
Phone number: 315-446-3904
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