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Basel Moussa, MD
Specialist in Fairview Park, Ohio
NPI 1467563429

Basel Moussa is a Specialist based in West Lake, OH. Basel Moussa practices in Fairview Park, OH and has the professional credentials of MD. The NPI Number for Basel Moussa is 1467563429 and holds a License No. 35-071087 (Ohio).

The current practice location address for Basel Moussa is 20997 Lorain Rd, Fairview Park, OH and can be reached out via phone at 440-356-6666 and via fax at 440-356-6651.

Location: 20997 Lorain Rd, Fairview Park, OH, 44145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467563429
Provider Name
Basel Moussa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20997 Lorain Rd, Fairview Park, OH, 44145
Phone Number
440-356-6666
Fax Number
440-356-6651
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000152232 01 OH ANTHEM BLUE CROSS
522125821 01 OH PROVIDER NUMBER
0852635 05 OH
522125821026 01 OH CARESOURCE
institution
Provider Business Practice Location Address Details
Address
20997 Lorain Rd
City
Fairview Park
State
Ohio
Zip
44176
Phone Number
440-356-6666
Fax Number
440-356-6651
person
Provider Business Mailing Address Details
Address
20997 Lorain Rd
City
Fairview Park
State
Ohio
Zip
44176
Phone Number
440-356-6666
Fax Number
440-356-6651
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35-071087 (Ohio)
Definition
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.
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