# ELEPHANT GROUP SOLUTIONS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jazzi Cosmetic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356064596
- **Authorized official:** DR. ALI MOHAMMAD DDS (SURGEON)
- **Authorized official phone:** (917) 330-0939

## Contact information

- **Practice address:** 1528 WALNUT ST STE 200, PHILADELPHIA, PA 19102-3602
- **Practice address phone:** (917) 330-0939
- **Mailing address:** 1528 WALNUT ST STE 200, PHILADELPHIA, PA 19102-3602
- **Mailing address phone:** (917) 330-0939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 09/22/2022