Wellformed AI

NPI 1245890912 · live from the CMS NPI Registry

Mustafa M A Al Gburi, MD

Psychiatry & Neurology, Neurology in Cambridge, MA. National Provider Identifier 1245890912, active.

NPI record

NPI1245890912 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location1493 Cambridge St, Cambridge, MA 02139
Practice phone617-665-1552
Mailing address41 Mall Rd, Burlington, MA 01805
EnumeratedJune 15, 2019
Last updatedApril 15, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400X32103 (NH)
Psychiatry & Neurology, Neurology primary2084N0400X1013451 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.