Individual
DANISH ANZARUL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N WASHINGTON AVE, SCRANTON, PA 18503-1828
(570) 591-5153
Mailing address
111 N WASHINGTON AVE, SCRANTON, PA 18503-1828
(630) 903-0512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT219480
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2019
Last updated
09/16/2019
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