Organization
COMPREHENSIVE CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAIZMOHAMED M MANSURI M.D. (PHYSICIAN)
(570) 589-0707
Entity
Organization
Contact information
Practice address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1782
(570) 589-0707
Mailing address
2 SOMERSET CLOSE, MOOSIC, PA 18507-2110
(570) 589-0707
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD427029
PA
Other
Enumeration date
04/18/2013
Last updated
04/19/2013
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