Individual
ANSA IQBAL CHUGHTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6562
Mailing address
41 UNIVERSITY DR STE 106, NEWTOWN, PA 18940-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD480037
PA
208M00000X
Hospitalist Physician
Primary
MD480037
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT219252
PA
Other
Enumeration date
06/25/2019
Last updated
03/02/2023
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