Individual
MRS. MANZOOR NAYEEMA MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
(215) 487-4718
(215) 487-4328
Mailing address
1830 FOOTHILL DR, HUNTINGDON VALLEY, PA 19006-7920
(215) 947-5745
(215) 487-4328
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD028414-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023040000
HMO ID
PA
Enumeration date
09/01/2006
Last updated
07/08/2007
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