Ali, Juan Omar

Ali, Juan Omar is an individual health care provider with primary practice located at 7500 Central Ave 209 , Philadelphia PA 19111-2432. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Ali, Juan Omar can be contacted via phone (215) 725-7600.

Contact Information

Primary practice address
7500 Central Ave 209 Philadelphia PA 19111-2432
Phone: (215) 725-7600
Fax: (215) 725-7700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD423731 Pennsylvania

Profile Details

NPI number 1306842083
LBN Legal business name Ali, Juan Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Oct 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306842083 NPPES
Pennsylvania MEDICAID 1146316

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