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Individual

WASILAH SULEIMAN-SULEIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
23-1 AVE WEST MAIN ESQ CALLE 23, BAYAMON, PR 00961
(917) 414-8284
Mailing address
MANSIONES DEL MAR MM81, PASEO NAUTICO, TOA BAJA, PR 00949
(917) 414-8284

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018686
PR
207R00000X
Internal Medicine Physician
277329
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018686
LICENSE
PR
Enumeration date
06/12/2011
Last updated
01/18/2022
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