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Individual

SYED HAZIQUE MAHMOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
121 TOWNE SQUARE DR STE 301, HERSHEY, PA 17033-9440
(717) 988-8320
(717) 221-5397
Mailing address
121 TOWNE SQUARE DR STE 301, HERSHEY, PA 17033-9440
(717) 988-8320
(717) 221-5397

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
269308
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD480449
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110120169A
MA
Enumeration date
08/22/2012
Last updated
07/03/2024
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