Individual
FAUZIA S MAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
905 W GOVERNOR RD, SUITE 200, HERSHEY, PA 17033-2307
(717) 531-7235
(717) 531-0067
Mailing address
PO BOX 858, CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
MD431155
PA
2084P0800X
Psychiatry Physician
MD431155
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD431155
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022723250001
—
PA
01
—
MD431155
MEDICAL LICENSE
PA
Enumeration date
05/15/2007
Last updated
04/13/2021
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