Individual
IMAN SHAMLOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 NUTT RD, PHOENIXVILLE, PA 19460-3906
(610) 983-1000
Mailing address
1009 CHURCH RD, ORELAND, PA 19075-2303
(302) 668-9871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA058540
PA
363A00000X
Physician Assistant
Primary
OA003896
PA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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