Individual provider · Type 1 NPI

Mohammad Asim Mustafa, MD

Pediatric Adolescent Medicine Physician · Rockford, IL

NPI number 1639265259 Active

Practice location

461 N. Mulford Road, Suite 12
Rockford, IL 61107-5165

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XNone listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1639265259

Mohammad Asim Mustafa, MD's National Provider Identifier is 1639265259, issued on Oct 4, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.