Individual
FAZLE ALI NOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1501 LANSDOWNE AVE STE 201, DARBY, PA 19023-1333
(610) 534-6230
(610) 872-5188
Mailing address
1501 LANSDOWNE AVE STE 201, DARBY, PA 19023-1333
(610) 534-6230
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
25MA08558300
NJ
207RN0300X
Nephrology Physician
Primary
MD433184
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023025310002
—
PA
Enumeration date
07/08/2008
Last updated
10/26/2020
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