USAMA M MOUSTAFA

LA PORTE, IN
NPI1447439922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  01064003A)
Enumeration Date2007-10-31
Last Update Date2020-09-16
Business Address
USAMA M MOUSTAFA MD
1509 STATE ST
LA PORTE, IN 46350-3115
Phone number: 219-324-3431
Mailing Address
USAMA M MOUSTAFA MD
PO BOX 1690
LA PORTE, IN 46352-1690
Phone number: 219-326-2312
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