Individual
ALAAELDIN A OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 PEACH ST, ERIE, PA 16501-2109
(814) 454-2891
(814) 464-9480
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5853
(814) 452-5583
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD419696
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
MD419696
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019211760008
—
PA
01
—
1701897
HIGHMARK
PA
Enumeration date
01/16/2006
Last updated
10/05/2020
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