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Individual

ALALEH EBRAHIMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
575 N RIVER ST, WILKES BARRE, PA 18702-2634
(570) 829-8111
Mailing address
575 N RIVER ST, WILKES BARRE, PA 18702-2634
(570) 829-8111

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS021272
PA

Other

Enumeration date
06/04/2018
Last updated
07/08/2021
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