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Individual

DR. FATHIMA F MUSTHAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2737
(215) 456-2729
Mailing address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2737
(215) 456-2729

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD069493L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001866913
PA
Enumeration date
01/24/2007
Last updated
06/03/2011
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