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Individual

DR. ATIZAZUL H MANSOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2808 OLD POST RD, HARRISBURG, PA 17110-3685
(717) 980-4400
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 920-4400
(717) 920-4401

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP00858
RI
207RC0000X
Cardiovascular Disease Physician
Primary
MD448283
PA
207UN0901X
Nuclear Cardiology Physician
MD448283
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102844190
PA
Enumeration date
04/17/2007
Last updated
01/28/2021
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