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Individual

MUZAMMIL M. QAISAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4088
(215) 612-4323
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS013924
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01697
HEALTH PARTNERS - TC
PA
05
1019198870001
PA
05
1019198870002
PA
05
1019198870003
PA
01
1967239
HIGHMARK BLUE SHIELD
PA
01
2849149000
PERSONAL CHOICE
PA
01
30042545
KEYSTONE MERCY
PA
01
30563
HEALTH PARTNERS FF
PA
Enumeration date
06/06/2007
Last updated
05/19/2008
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