Individual
DR. NOOR A. SHAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
544 ROUTE 6 AND 209, SUITE 1A, MILFORD, PA 18337-9439
(570) 296-2569
(570) 296-0419
Mailing address
544 ROUTE 6 AND 209, SUITE 1A, MILFORD, PA 18337-9439
(570) 296-2569
(570) 296-0419
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS030500L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018051680001
—
PA
Enumeration date
06/01/2005
Last updated
02/04/2013
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