Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD-GTL-20-00148 | NJ |
N | 208600000X | Surgeon | MD-GTL-20-00148 | NJ |
Y | 208800000X | Urologist | MD-GTL-20-00148 | NJ |
NPI | 1073135935 |
---|---|
Provider Name | Dr. Amr Mohamed Elsayed |
First Address | Allentown, PA 18102-4300 |
Second Address | Allentown, PA 18102-4300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2020 |
Last Update Date | 31/12/2020 |