Individual
MOHAMED AL KANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-8091
(570) 271-5879
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-8091
(570) 271-5879
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD479327
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20200707765333
—
IL
Enumeration date
07/06/2018
Last updated
12/30/2025
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