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Individual

MUHAMMAD IMTIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 FRANKLIN ST STE 140, JOHNSTOWN, PA 15905-4340
(814) 534-3740
Mailing address
52 HARRISON ST, STE 1, JOHNSON CITY, NY 13790-2120
(518) 262-5196

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
278932
NY
207RP1001X
Pulmonary Disease Physician
MD464291
PA

Other

Enumeration date
12/29/2008
Last updated
03/07/2021
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