Organization
PA SURGERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MOHAMMAD DDS (SURGEON)
(917) 330-0939
Entity
Organization
Contact information
Practice address
1528 WALNUT ST STE 200, PHILADELPHIA, PA 19102-3602
(215) 515-2881
Mailing address
1528 WALNUT ST STE 200, PHILADELPHIA, PA 19102-3602
(215) 999-6695
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
10/15/2023
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