Individual provider · Type 1 NPI
Basel Moussa, MD
Specialist · Fairview Park, OH
NPI number
1467563429
Active · reactivated Sep 7, 2007
Practice location
20997 Lorain Rd
Fairview Park, OH 44176
Fax (440) 356-6651
Mailing address
PO Box 450615
West Lake, OH 44145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 35-071087 (OH) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Fairview Park
About NPI 1467563429
Basel Moussa, MD's National Provider Identifier is 1467563429, issued on Aug 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairview Park, OH. The record was last updated on Sep 7, 2007.