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1902841927
MUHAMMAD ATHAR MUMTAZ
BROCKTON, MA
NPI
1902841927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 204600)
Enumeration Date
2006-06-17
Last Update Date
2008-04-14
Business Address
-- MUHAMMAD ATHAR MUMTAZ M.D.
63 MAIN ST
BROCKTON, MA 02301-4012
Phone number: 505-559-6699
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Mailing Address
-- MUHAMMAD ATHAR MUMTAZ M.D.
63 MAIN ST
BROCKTON, MA 02301-4342
Phone number: 508-559-1567
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