Individual
FARAH NEELAM MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 E 21ST ST STE 400, NORTHAMPTON, PA 18067-1269
(484) 526-7275
(833) 820-1011
Mailing address
602 E 21ST ST STE 400, NORTHAMPTON, PA 18067-1269
(484) 526-7275
(833) 820-1011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS013857
STATE LICENCE
PA
Enumeration date
10/19/2006
Last updated
01/05/2023
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