Individual
SYED A. JAFFAR KAZMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0131
(570) 271-6338
(570) 271-6105
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
24178
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24178
NE STATE LICENSE
NE
Enumeration date
05/23/2007
Last updated
07/16/2014
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