MEDICARE: DR. MOHAMED T LAREEF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD439113	PA
2	2086X0206X	Surgical Oncology Physician	MD439113	PA

General Provider Information

NPI Number	:	1164673802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMED T LAREEF MD

Provider Business Mailing Address
First Line	:	200 ST LUKES LN
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-6218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 ST LUKES LN
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-6218
Country	:	US
Telephone Number	:	484-503-4673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2008
Last Update Date	:	01/02/2026

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