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NPI Code Detail

MEDICARE: DAYAMED PA

MEDICARE: DAYAMED PA
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
1261QM1300XMulti-Specialty Clinic/Center
2208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1942926472
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYAMED PA
Provider Business Mailing Address
First Line : 1000 N WEST ST STE 1200
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-1058
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 CARNEGIE CTR STE 150
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-6285
Country : US
Telephone Number : 800-931-5883
Fax Number :
Authorized Official
Title or Position : PHYSICIAN OWNER
Name : DR. ALEX S MOHSENI
Credential : MD
Telephone Number : 301-706-4461
Provider Enumeration Date : 10/17/2022
Last Update Date : 03/25/2024

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Directions to “DAYAMED PA ” Practice Location

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