Individual provider · NPI-1

Ammar Alam

Internal Medicine · Bethlehem, PA

NPI number1770224768
StatusActive
Last updated in NPPESAug 30, 2024

Details

NPI
1770224768
Entity type
Individual (NPI-1)
Name
Ammar Alam
Sex
Male
Sole proprietor
No
Enumeration date
Apr 5, 2022
Certification date
Aug 30, 2024
Last updated
Aug 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOS023915PAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Phone 484-526-4644

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000

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