Individual
DR. MOHAMMAD TAHIR FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 FRONT ST STE 280, CONSHOHOCKEN, PA 19428-2891
(484) 351-8459
(484) 351-8810
Mailing address
908 RAINBOW DR, BETHLEHEM, PA 18017-2333
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD054264L
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD054264L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01543270
—
PA
Enumeration date
07/05/2006
Last updated
09/29/2021
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