Individual
IZZA AQDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4311 EASTON AVE, BETHLEHEM, PA 18020-1431
(484) 503-3073
Mailing address
4311 EASTON AVE, BETHLEHEM, PA 18020-1431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT235410
PA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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