Individual
MAHMOUD ELFATAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
828 PROVIDENCE RD, APT C303, SECANE, PA 19018-3638
(215) 762-2618
Mailing address
828 PROVIDENCE RD, APT C303, SECANE, PA 19018-3638
(610) 457-1129
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT 189373
PA
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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