# PA SURGERY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891477162
- **Authorized official:** DR. ALI MOHAMMAD DDS (SURGEON)
- **Authorized official phone:** (917) 330-0939

## Contact information

- **Practice address:** 2200 ARCH ST STE 102, PHILADELPHIA, PA 19103-1353
- **Practice address phone:** (215) 515-2881
- **Mailing address:** 2200 ARCH ST STE 102, PHILADELPHIA, PA 19103-1353
- **Mailing address phone:** (215) 515-2881
- **Mailing address fax:** (267) 715-5566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2023
- **Last updated:** 08/26/2026