Individual
ANIS FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
37 HIGHLAND AVE, WASHINGTON, PA 15301-4062
(724) 223-1067
(724) 223-1088
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD443229
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026480720001
—
PA
01
—
229676D4Z
MEDICARE
PA
Enumeration date
04/06/2009
Last updated
02/14/2012
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