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Organization
APOLLO MEDICAL GROUP OF PENNSYLVANIA LLC
Active
Organization
APOLLO MEDICAL GROUP OF PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN ELFAR MD (MANAGING PARTNER)
(941) 725-1198
Entity
Organization
Contact information
Practice address
2851 BAGLYOS CIR STE 100, BETHLEHEM, PA 18020-8038
(941) 360-1566
Mailing address
PO BOX 2668, SPRINGFIELD, IL 62708-2668
(941) 725-1198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/13/2024
Last updated
01/02/2025
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