Provider Demographics
NPI:1851460950
Name:AMMAR, NEAL M (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:M
Last Name:AMMAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:944 5TH ST
Mailing Address - Street 2:UNIT 104
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-2690
Mailing Address - Country:US
Mailing Address - Phone:201-852-5980
Mailing Address - Fax:
Practice Address - Street 1:520 N PROSPECT AVE
Practice Address - Street 2:STE 302
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3041
Practice Address - Country:US
Practice Address - Phone:310-798-1515
Practice Address - Fax:310-798-3131
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2014-02-27
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Provider Licenses
StateLicense IDTaxonomies
CAA92792207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery