Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD431055 | PA |
N | 111NI0900X | Internist | MD431055 | PA |
N | 207RA0401X | Internist - Addiction Medicine | MD431055 | PA |
NPI | 1922053388 |
---|---|
Provider Name | Dr. Muhamad Aly Rifai |
First Address | Easton, PA 18044-1360 |
Second Address | Easton, PA 18042-3211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101931809 | (05) | PA |
113284KZH | (02) | PA |