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Individual

MOMINA MAZHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1101 SAM PERRY BLVD STE 121, FREDERICKSBURG, VA 22401-4465
(540) 899-1600
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-8278

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101282864
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2020
Last updated
10/21/2024
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