MAZEN R AL-MANSOUR

BAYSTATE MEDICAL PRACTICES INC

Dr MAZEN R AL-MANSOUR is a male medical professional, specializing in General Surgery. He graduated in 2006.

Contact

BAYSTATE MEDICAL PRACTICES INC

2 MEDICAL CTR DR
SPRINGFIELD
MA
011071270

Tel: 4137948050

MAZEN R AL-MANSOUR Information

Npi 1316146756
Pac Id 0941466742
Professional Enrollment Id I20120724000011
Last Name AL-MANSOUR
First Name MAZEN
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2006
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BAYSTATE MEDICAL PRACTICES INC
Group Practice Pac Id 5991602971
Number Of Group Practice Members 899
Line 1 Street Address 2 MEDICAL CTR DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SPRINGFIELD
State MA
Zip Code 011071270
Phone Number 4137948050
Hospital Affiliation Ccn 1 220077
Hospital Affiliation Lbn 1 BAYSTATE MEDICAL CENTER
Hospital Affiliation Ccn 2 220065
Hospital Affiliation Lbn 2 BAYSTATE NOBLE HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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