Individual ProviderMossab AljuaidStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address500 Washington St, Boston, MA 02111-1210(202) 725-3359PECOS EnrollmentBased on the most recent information from CMS, provider Mossab Aljuaid is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1245693480Provider TypeIndividualFull NameAljuaid, MossabCredentialMBBSGenderMaleSole ProprietorYesEnumeration Date4/4/2016Last Updated6/4/2019Contact InformationPractice LocationPractice Address500 Washington St, Boston, MA 02111-1210Phone(202) 725-3359FaxUnlisted FaxMailing LocationMailing Address50 Station Lndg, Medford, MA 02155-5180Phone(202) 725-3359FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer