Individual
MOHAMMAD ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 COUNTY ROUTE 45A STE 400, OSWEGO, NY 13126-6673
(315) 312-0889
(315) 312-0110
Mailing address
105 COUNTY ROUTE 45A STE 400, OSWEGO, NY 13126-6673
(315) 312-0889
(315) 312-0110
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
282625
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2012
Last updated
09/14/2023
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