Individual
OMAR WIJAHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
61 JOHN ST, KINGSTON, PA 18704-3810
(417) 894-8376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151489
PA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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