Basic Information
| Provider Information | |||||||||
| NPI: | 1326422346 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ELSAIE | ||||||||
| FirstName: | AHMED | ||||||||
| MiddleName: | LOTFY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8460 LIMEKILN PIKE | ||||||||
| Address2: | APT 822 | ||||||||
| City: | WYNCOTE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190952601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154566595 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5501 OLD YORK RD | ||||||||
| Address2: | ALBERT EINSTEIN MEDICAL CENTER, | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191413018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154566595 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2015 | ||||||||
| LastUpdateDate: | 07/20/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MT209958 | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.