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Individual

MICHAEL HAESSAM AMINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 MARYLAND RD STE 20, WILLOW GROVE, PA 19090-1732
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
(267) 479-1321

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
123520
OH
207X00000X
Orthopaedic Surgery Physician
51015
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
MD489621
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD489621
PA

Other

Enumeration date
05/12/2009
Last updated
08/01/2025
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