Provider Demographics
NPI:1811638216
Name:APOLLONIA HEALTH CARE LLC
Entity type:Organization
Organization Name:APOLLONIA HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-888-4178
Mailing Address - Street 1:8 LONGMEADOW RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3427
Mailing Address - Country:US
Mailing Address - Phone:617-888-4178
Mailing Address - Fax:402-207-8011
Practice Address - Street 1:8 LONGMEADOW RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-3427
Practice Address - Country:US
Practice Address - Phone:617-888-4178
Practice Address - Fax:402-207-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty