Healthcare Provider Details

I. General information

NPI: 1982126769
Provider Name (Legal Business Name): MOHAMED ASHRAF AHMED ELMASRY MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 07/11/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JOSLIN PL
BOSTON MA
02215-5306
US

IV. Provider business mailing address

526 FARNSWORTH ST
PITTSBURGH PA
15207-1145
US

V. Phone/Fax

Practice location:
  • Phone: 617-309-2586
  • Fax:
Mailing address:
  • Phone: 617-685-1746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number283784
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: