Individual
DR. FAIZMOHAMED M MANSURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1782
(570) 589-0707
(570) 955-1971
Mailing address
2 SOMERSET CLOSE, MOOSIC, PA 18507-2110
(570) 589-0707
(570) 955-1971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD427029
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101437233001
—
PA
01
—
MA1736698
BCBS
PA
Enumeration date
07/05/2006
Last updated
07/12/2016
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