Individual
DR. MUSTAFA WAHABREBBI AMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 W LOCKHART ST, SAYRE, PA 18840-1618
(570) 887-3920
(570) 887-3929
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
281798
NY
208600000X
Surgery Physician
Primary
MD455752
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030610850001
—
PA
Enumeration date
11/22/2009
Last updated
03/07/2021
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