Organization
ANWAR NAKKOUL MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BLASE (OFFICE MANAGER)
(570) 875-3665
Entity
Organization
Contact information
Practice address
1023 CENTRE ST, ASHLAND, PA 17921-1204
(570) 875-3665
(570) 875-2012
Mailing address
1023 CENTRE ST, ASHLAND, PA 17921-1204
(570) 875-3665
(570) 875-2012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD059146L
PA
Other
Enumeration date
03/13/2007
Last updated
06/29/2010
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