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NPI Code Detail

MEDICARE: MOTAZ ALHOMSI M.D.

MEDICARE: MOTAZ ALHOMSI M.D.
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
12084P0800XPsychiatry PhysicianMD060492LPA

General Provider Information

NPI Number : 1154455798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOTAZ ALHOMSI M.D.
Provider Business Mailing Address
First Line : 27 E MOUNT AIRY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-1713
Country : US
Telephone Number : 215-248-6700
Fax Number : 215-754-0218
Provider Business Practice Location Address
First Line : 27 E MOUNT AIRY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-1713
Country : US
Telephone Number : 215-248-6700
Fax Number : 215-754-0218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 11/02/2007

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