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NPI Code Detail

MEDICARE: DR. RAWAN NAWAZ D.C

MEDICARE:  DR. RAWAN  NAWAZ  D.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorAJ010802PA
2111N00000XChiropractorDC011030PA

General Provider Information

NPI Number : 1528449659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAWAN NAWAZ D.C
Provider Business Mailing Address
First Line : 525 NEWTON LAKE DR APT D310
Second Line :
City : COLLINGSWOOD
State : NJ
Zip : 08107-1626
Country : US
Telephone Number : 215-309-2380
Fax Number :
Provider Business Practice Location Address
First Line : 1528 WALNUT ST STE 1402
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-3610
Country : US
Telephone Number : 215-309-2380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2015
Last Update Date : 07/12/2016

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Directions to “ DR. RAWAN NAWAZ D.C” Practice Location

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