Organization
ELIZABETH FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUSHRA HAIDER MD (OWNER)
(412) 384-0008
Entity
Organization
Contact information
Practice address
121 N 2ND AVE, ELIZABETH, PA 15037-1532
(412) 384-0008
(412) 384-5640
Mailing address
121 N 2ND AVE, ELIZABETH, PA 15037-1532
(412) 384-0008
(412) 384-5640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013394100001
—
PA
01
—
1738084
HIGHMARK BLUE SHIELD
PA
01
—
3805946
AETNA
—
01
—
P00219230
RAILROAD MEDICARE
—
Enumeration date
12/08/2006
Last updated
11/06/2007
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