Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA09667200 | NJ |
Y | 2080P0204X | Pediatric Emergency Doctor | MD454177 | PA |
NPI | 1265759252 |
---|---|
Provider Name | Rawahuddin Naseem |
First Address | Philadelphia, PA 19107-3377 |
Second Address | Voorhees, NJ 08043-9612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 27/11/2018 |