Individual
SHOAIB MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 S CEDAR CREST BLVD STE 304, ALLENTOWN, PA 18103-6212
(452) 961-0432
Mailing address
333 OAKHURST DR, MURPHY, TX 75094-4479
(469) 230-5014
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MT217461
PA
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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