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Individual

DR. EDNA Z MAHMOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 GRANITE POINT DR, SUITE 100, WYOMISSING, PA 19610-1986
(610) 378-1344
(610) 378-5169
Mailing address
1 GRANITE POINT DR, SUITE 100, WYOMISSING, PA 19610-1986
(610) 378-1344
(610) 378-5169

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-038669-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0795512
PA
01
180025846
RAILROAD MEDICARE
PA
Enumeration date
01/24/2006
Last updated
02/23/2016
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