Individual
NOMAHN HUMAYUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1901 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 383-1422
Mailing address
3223 N BROAD ST FL 3, PHILADELPHIA, PA 19140-5007
(215) 707-7541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02929700
NJ
1223P0300X
Periodontics
22DI02929700
NJ
1223P0300X
Periodontics
2901019690
MI
1223P0300X
Periodontics
Primary
DS043548
PA
1223P0300X
Periodontics
SDO43548
PA
Other
Enumeration date
08/13/2007
Last updated
04/01/2024
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