Individual
FREDDY MOHAMED ISMAIL ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 877-2000
Mailing address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 877-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD432148
PA
Other
Enumeration date
05/07/2007
Last updated
08/07/2007
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