Individual
MOHAMED ALSAMMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4353
(215) 707-2781
Mailing address
2450 W. HUNTING PARK AVE, PHILADELPHIA, PA 19129
(215) 707-4353
(215) 707-2781
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
MD455614
PA
207ZH0000X
Hematology (Pathology) Physician
MD455614
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD455614
PA
Other
Enumeration date
07/08/2014
Last updated
07/31/2015
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