| 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 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 3971576117 |
|---|---|
| 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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