Organization
KAZI M ISLAM MD & ASSOCIATES
Active
Parent organization
KAZI M ISLAM MD
Other names
Kazi M Islam MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAZI M ISLAM MD
Authorized official
DR. KAZI MONIRUL ISLAM M.D. (PHYSICIAN/OWNER)
(610) 394-2130
Entity
Organization
Contact information
Practice address
23 E LA CROSSE AVE, LANSDOWNE, PA 19050
(610) 394-2130
(610) 394-2177
Mailing address
23 E LACROSSE AVE, LANSDOWNE, PA 19050
(610) 394-2130
(610) 394-2177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014669110008
—
PA
Enumeration date
02/04/2014
Last updated
03/03/2014
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