Individual
ABDELMOHSEN KHOLOUSSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 COTTAGE HL E, POB 1184, POTTSVILLE, PA 17901-1931
(570) 622-5885
Mailing address
14 COTTAGE HL E, POB 1184, POTTSVILLE, PA 17901-1931
(570) 622-5885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-37201-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826664
—
PA
Enumeration date
12/29/2005
Last updated
08/10/2007
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