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Individual

UMAR TARIQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
740 HIGH ST STE 2001, WILLIAMSPORT, PA 17701-3102
(570) 321-2805
(570) 321-2806
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8922

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD467691
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD467691
PA

Other

Enumeration date
06/27/2013
Last updated
07/03/2019
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