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Organization
PA SURGERY GROUP LLC
Active
Organization
PA SURGERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MOHAMMAD DDS (SURGEON)
(917) 330-0939
Entity
Organization
Contact information
Practice address
2200 ARCH ST STE 102, PHILADELPHIA, PA 19103-1353
(215) 515-2881
Mailing address
2200 ARCH ST STE 102, PHILADELPHIA, PA 19103-1353
(215) 515-2881
(267) 715-5566
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/26/2026
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