Individual
NISREEN MOUSA MADHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
125 MEDICAL CAMPUS DR, SUITE 310, LANSDALE, PA 19446-7205
(215) 368-1122
Mailing address
125 MEDICAL CAMPUS DR, SUITE 310, LANSDALE, PA 19446-7205
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS015659
PA
208600000X
Surgery Physician
OT012912
PA
208600000X
Surgery Physician
P9642
TX
Other
Enumeration date
08/04/2009
Last updated
01/23/2017
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