Provider Demographics
NPI:1013525963
Name:KAMARA, MOHAMED MAJID (CPHARMT)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:MAJID
Last Name:KAMARA
Suffix:
Gender:M
Credentials:CPHARMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:YEADON
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3835
Mailing Address - Country:US
Mailing Address - Phone:267-243-3279
Mailing Address - Fax:484-462-3974
Practice Address - Street 1:204 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-3835
Practice Address - Country:US
Practice Address - Phone:267-243-3279
Practice Address - Fax:484-462-3974
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker