Individual
NASIMA R MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2010 OLD WEST CHESTER PIKE, HAVERTOWN, PA 19083
(610) 789-8090
Mailing address
PO BOX 8500 4066, PHILADELPHIA, PA 19178-4066
(888) 709-4485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD058123L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001752
MEDICARE
PA
Enumeration date
10/07/2005
Last updated
01/09/2008
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