Individual
ALI ABDELMUTAAL OMAR MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD456214
PA
207RX0202X
Medical Oncology Physician
4301504644
MI
Other
Enumeration date
06/04/2008
Last updated
01/12/2023
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