Individual
MANSOOR CHOUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
857 MONTGOMERY AVE, PENN VALLEY, PA 19072-1541
(312) 766-4949
(610) 664-2951
Mailing address
857 MONTGOMERY AVE, PENN VALLEY, PA 19072-1541
(610) 664-2951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS025538
PA
208D00000X
General Practice Physician
Primary
OS025538
PA
Other
Enumeration date
04/02/2020
Last updated
03/25/2026
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