Organization
DRS MUNIR & SAMAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD M MUNIR MD (MEDICAL DOCTOR)
(570) 743-7657
Entity
Organization
Contact information
Practice address
99 BALDWIN BLVD, SHAMOKIN DAM, PA 17876
(570) 743-7657
(570) 743-0047
Mailing address
PO BOX 427, 99 BALDWIN BLVD, SHAMOKIN DAM, PA 17876
(570) 743-7657
(570) 743-0047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD034193L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006883990001
—
PA
Enumeration date
09/22/2005
Last updated
08/22/2020
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