Individual
FERAS JAZAERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
100 N ACADEMY AVE., DANVILLE, PA 17822
(570) 214-3673
(570) 214-6543
Mailing address
100 N ACADEMY AVE. MC:14-03, DANVILLE, PA 17822
(570) 214-3673
(570) 214-6543
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MT226995
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2022
Last updated
08/23/2022
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