Individual
AHMAD WARDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 ANTHRA PLAZA CTR, RANSHAW, PA 17866-4199
(570) 644-0988
(570) 644-0945
Mailing address
7 ANTHRA PLAZA CTR, RANSHAW, PA 17866-4199
(570) 644-0988
(570) 644-0945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD068460L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017615910005
—
PA
Enumeration date
03/10/2006
Last updated
12/06/2007
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