Individual
MOSEN ALAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LEHIGH AVE, SUITE 204, PHILADELPHIA, PA 19125-1000
(215) 707-1160
(215) 707-1157
Mailing address
531 CONSHOHOCKEN STATE RD, GLADWYNE, PA 19035-1423
(610) 645-8312
(215) 707-1157
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD035334Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001074116
—
PA
Enumeration date
04/18/2006
Last updated
07/08/2007
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