Individual
DR. HAITEM MOHAMED MUAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4824
(215) 955-2370
Mailing address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4824
(215) 955-2370
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT224857
PA
207R00000X
Internal Medicine Physician
265512
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110114657A
—
MA
Enumeration date
07/08/2013
Last updated
03/04/2022
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