Individual
DR. AHMED MAHMOUD MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(601) 402-8000
Mailing address
8106 WOODMONT CIRCLE, MACUNGIE, PA 18062
(860) 333-2230
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MT215822
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MT215822
—
PA
Enumeration date
06/07/2018
Last updated
06/07/2018
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