Individual
MALIK MOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 SIR THOMAS CT, SUITE B, HARRISBURG, PA 17109-4839
(717) 652-8670
(717) 901-5009
Mailing address
825 SIR THOMAS CT, SUITE B, HARRISBURG, PA 17109-4839
(717) 652-8670
(717) 901-5009
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD044639-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01236377
—
PA
Enumeration date
01/04/2006
Last updated
01/06/2010
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