Organization
AHMED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM AHMED M.D. (OWNER)
(570) 882-9939
Entity
Organization
Contact information
Practice address
102 DESMOND ST, SAYRE, PA 18840-2002
(570) 882-9939
(570) 882-1320
Mailing address
102 DESMOND ST, SAYRE, PA 18840-2002
(570) 882-9939
(570) 882-1320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD046924L
PA
Other
Enumeration date
01/17/2007
Last updated
08/29/2007
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