Provider Demographics
NPI:1255633558
Name:DR. MAHMOUD H. ALY, P.C.
Entity type:Organization
Organization Name:DR. MAHMOUD H. ALY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ALY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-203-9500
Mailing Address - Street 1:883 POOLE AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-2040
Mailing Address - Country:US
Mailing Address - Phone:732-203-9500
Mailing Address - Fax:732-203-0851
Practice Address - Street 1:883 POOLE AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-2040
Practice Address - Country:US
Practice Address - Phone:732-203-9500
Practice Address - Fax:732-203-0851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty