Individual
AHMED FAWZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2845
(570) 887-2011
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
45970
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD438980
PA LICENSE
PA
Enumeration date
12/07/2005
Last updated
07/29/2011
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