# APOLLO MEDICAL GROUP OF EXTON LLC

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

## Provider details

- **NPI number:** 1932765922
- **Authorized official:** AYMAN ELFAR MD (MEMBER/MANAGER)
- **Authorized official phone:** (941) 360-1566

## Contact information

- **Practice address:** 491 JOHN YOUNG WAY STE 100, EXTON, PA 19341-2567
- **Practice address phone:** (484) 872-8408
- **Practice address fax:** (484) 873-3942
- **Mailing address:** 8437 BELL OAKS DR STE 119, NEWBURGH, IN 47630-2582
- **Mailing address phone:** (941) 360-1566
- **Mailing address fax:** (941) 358-9818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 02/26/2021