Organization
M AZAM MOHIUDDIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M AZAM MOHIUDDIN MD PC (PRESIDENT)
(215) 695-0331
Entity
Organization
Contact information
Practice address
8110 BUSTLETON AVE, PHILADELPHIA, PA 19152-2803
(215) 695-0331
Mailing address
8110 BUSTLETON AVE, PHILADELPHIA, PA 19152-2803
(215) 695-0331
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
MD037150L
PA
Other
Enumeration date
02/15/2008
Last updated
03/07/2008
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