Provider Demographics
NPI:1720286289
Name:MOWLA, MUHAMMAD SAIFUL (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:SAIFUL
Last Name:MOWLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:77 WARREN ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3601
Mailing Address - Country:US
Mailing Address - Phone:617-562-5612
Mailing Address - Fax:617-562-5415
Practice Address - Street 1:18 MAIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:TOWNSEND
Practice Address - State:MA
Practice Address - Zip Code:01469-1300
Practice Address - Country:US
Practice Address - Phone:978-597-9091
Practice Address - Fax:978-597-9094
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2017-08-24
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Provider Licenses
StateLicense IDTaxonomies
MA243006207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist