Individual
NAWAR D ABDUL LATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, 3RD FLOOR WEST, PHILADELPHIA, PA 19104-5127
(215) 662-3318
Mailing address
3400 CIVIC CENTER BLVD, 3RD FLOOR WEST, PHILADELPHIA, PA 19104-5127
(215) 662-3318
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MD452565
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301095118
STATE LICENSE
—
Enumeration date
07/08/2009
Last updated
06/14/2016
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