Individual
DR. AMJAD MOHAMMED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7201
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08464300
NJ
207R00000X
Internal Medicine Physician
44385
KY
207RI0200X
Infectious Disease Physician
01065411A
IN
207RI0200X
Infectious Disease Physician
Primary
251131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226971
—
NJ
05
—
200930890
—
IN
05
—
7100407110
—
KY
Enumeration date
06/12/2008
Last updated
07/21/2021
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