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NPI Code Detail

MEDICARE: WASIF A QURESHI M.D.

MEDICARE: WASIF A QURESHI M.D.
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
1207RC0000XCardiovascular Disease PhysicianC1-0008345DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121334OTHERWVMEDICAL LICENSE
20-567-770-3OTHERECFMG

General Provider Information

NPI Number : 1861619975
Entity Type Code : Individual
Provider Name (Legal Business Name) : WASIF A QURESHI M.D.
Provider Business Mailing Address
First Line : 1401 FOULK RD
Second Line : SUITE 101A
City : WILMINGTON
State : DE
Zip : 19803-2763
Country : US
Telephone Number : 302-661-7676
Fax Number : 302-661-1050
Provider Business Practice Location Address
First Line : 121 BECKS WOODS DR
Second Line : SUITE 200
City : BEAR
State : DE
Zip : 19701-3851
Country : US
Telephone Number : 302-834-7676
Fax Number : 302-834-9202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 12/02/2014

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Directions to “ WASIF A QURESHI M.D.” Practice Location

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