Individual
NOUSHIN HEIDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
919 CONESTOGA RD, BLDG 2, SUITE 106, BRYN MAWR, PA 19010-1352
(610) 525-5028
(610) 672-0424
Mailing address
919 CONESTOGA RD, BLDG 2, SUITE 106, BRYN MAWR, PA 19010-1352
(610) 525-5028
(610) 672-0424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA08581800
NJ
207N00000X
Dermatology Physician
Primary
MD456280
PA
Other
Enumeration date
06/22/2007
Last updated
09/22/2015
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