Individual
AMIN SHAZLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207L00000X
NJ
207L00000X
Anesthesiology Physician
Primary
OS018410
PA
Other
Enumeration date
06/29/2013
Last updated
05/11/2026
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