Provider Demographics
NPI:1205570041
Name:ELHASHASH, MOSTAFA M (OD)
Entity type:Individual
Prefix:DR
First Name:MOSTAFA
Middle Name:M
Last Name:ELHASHASH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-2508
Mailing Address - Country:US
Mailing Address - Phone:781-228-1582
Mailing Address - Fax:
Practice Address - Street 1:18 JOHN ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-2508
Practice Address - Country:US
Practice Address - Phone:781-228-1582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program