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Organization

BLUE MOUNTAIN PSYCHIATRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MUHAMAD ALY RIFAI M.D. (SOLE PROPRIETOR)
(610) 829-5089
Entity
Organization

Contact information

Practice address
241 N 13TH ST STE 201, EASTON, PA 18042
(610) 829-5089
(888) 972-2853
Mailing address
PO BOX 1360, EASTON, PA 18044-1360
(610) 829-5089
(484) 898-0334

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD431055
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD431055
PA
2084P0015X
Psychosomatic Medicine Physician
MD431055
PA
2084P0800X
Psychiatry Physician
Primary
MD431055
PA

Other

Enumeration date
12/13/2012
Last updated
03/11/2026
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