Individual
DR. SHUJAYAT ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 SIERRA CIR, SUITE 100, CENTER VALLEY, PA 18034-8476
(484) 664-2090
(484) 664-2089
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD452220
PA
208000000X
Pediatrics Physician
Primary
MD452220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0509698
—
NJ
05
—
1092489720001
—
PA
Enumeration date
08/31/2011
Last updated
08/20/2024
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