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Individual

ALI A AL-MUDAMGHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4939 BRITTONFIELD PKWY STE 202, EAST SYRACUSE, NY 13057-9208
(315) 634-6699
(315) 744-1921
Mailing address
301 PROSPECT AVE # MSO, SYRACUSE, NY 13203-1807
(315) 448-5881
(315) 448-3548

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
187031
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
187031
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01742805
NY
Enumeration date
09/21/2005
Last updated
02/27/2025
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