Provider Demographics
NPI:1992497713
Name:ALAZZEH, MOHAMMAD SAMI (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:SAMI
Last Name:ALAZZEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 NUTT RD
Mailing Address - Street 2:TOWERHEALTH-PHOENIXVILLE HOSPITAL, DEPARTMENT OF MEDICI
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460
Mailing Address - Country:US
Mailing Address - Phone:610-983-1010
Mailing Address - Fax:
Practice Address - Street 1:140 NUTT RD
Practice Address - Street 2:TOWERHEALTH-PHOENIXVILLE HOSPITAL, DEPARTMENT OF MEDICI
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460
Practice Address - Country:US
Practice Address - Phone:610-983-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program