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Individual

AMMARAH IQBAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD MPH

Contact information

Practice address
550 S GODDARD BLVD, KING OF PRUSSIA, PA 19406-2922
(215) 590-1000
Mailing address
3501 CIVIC CENTER BLVD, COLKET BUILDING 2ND FLOOR EMERGENCY MEDICINE SUITE 2110, PHILADELPHIA, PA 19104
(445) 236-2474
(215) 590-4454

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD477669
PA
208000000X
Pediatrics Physician
1171995
MD
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
64722
CT
390200000X
Student in an Organized Health Care Education/Training Program
CT

Other

Enumeration date
03/25/2014
Last updated
11/09/2022
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