| Doctor Name: | MOSTAFA NOURY |
| NPI Number: | 1033379391 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 257625 |
| Business Practice Address: | 25 W Main St Northborough, MA - 015321909 |
| Business Phone Number: | 5083400070 |
| Business Fax Number: | 6174882214 |
| Mailing Address: | 25 W Main St, NORTHBOROUGH |
| State: | MA |
| Postal Code: | 015321909 |
| Phone Number: | 5083400070 |
| Fax Number: | 6174882214 |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 06/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 257625 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |