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Individual

RIZWAN JABIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ROUTE 403 SOUTH, 100 NEALE AVENUE, MARION CENTER, PA 15759
(724) 397-2326
(724) 397-2420
Mailing address
ROUTE 403 SOUTH, PO BOX 268, MARION CENTER, PA 15759
(724) 397-2326
(724) 397-2420

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD058271L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015738130001
PA
05
0015738130006
PA
01
252780
UPMC FOR YOU PROV #
PA
01
5109152
AETNA/US HEALTHCARE
PA
01
69936
UNISON PROVIDER #
PA
01
852808
BLUE SHIELD PROVIDER #
PA
01
P000831
GATEWAY PROVIDER #
PA
Enumeration date
07/08/2006
Last updated
07/09/2007
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