Basic Information
| Provider Information | |||||||||
| NPI: | 1447748157 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALI | ||||||||
| FirstName: | MUZAFFAR | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4300 LONDONDERRY RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171095317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176757525 | ||||||||
| FaxNumber: | 7172215685 | ||||||||
| Practice Location | |||||||||
| Address1: | 4300 LONDONDERRY RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176757525 | ||||||||
| FaxNumber: | 7172215685 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2018 | ||||||||
| LastUpdateDate: | 09/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | OT018277 | PA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 390200000X | OT018277 | PA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.