Anwar Nakkoul Md, Pc | |
1023 Centre St Ashland PA 17921-1204 | |
(570) 875-3665 | |
(570) 875-2012 |
Full Name | Anwar Nakkoul Md, Pc |
---|---|
Speciality | Internal Medicine |
Location | 1023 Centre St, Ashland, Pennsylvania |
Authorized Official Name and Position | Nicole Blase (OFFICE MANAGER) |
Authorized Official Contact | 5708753665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anwar Nakkoul Md, Pc 1023 Centre St Ashland PA 17921-1204 Ph: (570) 875-3665 | Anwar Nakkoul Md, Pc 1023 Centre St Ashland PA 17921-1204 Ph: (570) 875-3665 |
NPI Number | 1053444018 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 06/29/2010 |
Medicare PECOS PAC ID | 3971576117 |
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Medicare Enrollment ID | O20040817000193 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053444018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD059146L (Pennsylvania) | Primary |
Provider Name | Anwar Nakkoul |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669465381 PECOS PAC ID: 1355597022 Enrollment ID: I20120813000212 |
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