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Organization

EARLY PSYCHIATRIC & COUNSELING SERVICE, P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAFIQ UR RAHMAN M.D (PRESIDENT-CHIEF PSYCHIATRIST)
(570) 454-2545
Entity
Organization

Contact information

Practice address
116 N 5TH ST, W HAZLETON, PA 18202-3946
(570) 454-2545
(570) 454-6191
Mailing address
PO BOX 100, MOUNTAIN TOP, PA 18707-0100
(570) 454-2545
(570) 454-6191

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD053911-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015129990009
PA
Enumeration date
05/31/2007
Last updated
05/23/2008
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