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MAGED MOFIED GHALY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
989 JERICHO TPK, SMITHTOWN, NY 11787-3203
(631) 864-5600
(631) 864-5612
Mailing address
989 JERICHO TPK, SMITHTOWN, NY 11787-3203
(631) 864-5600
(631) 864-5612

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
226405
NY

Other

Enumeration date
06/14/2006
Last updated
11/19/2012
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