Individual
OSSAMA ALY ELSACCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
300 S 6TH AVE, WEST READING, PA 19611-1426
(610) 988-5202
Mailing address
300 S 6TH AVE, PO BOX 16052, WEST READING, PA 19611-1426
(610) 988-5202
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MT191762
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT191762
STATE LICENSE
PA
Enumeration date
06/02/2008
Last updated
06/02/2008
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