Noor, Fazle Ali

Noor, Fazle Ali is an individual health care provider with primary practice located at 1501 Lansdowne Ave Ste 201 , Darby PA 19023-1333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Noor, Fazle Ali can be contacted via phone (610) 534-6230.

Contact Information

Primary practice address
1501 Lansdowne Ave Ste 201 Darby PA 19023-1333
Phone: (610) 534-6230
Fax: (610) 872-5188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA08558300 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD433184 Pennsylvania

Profile Details

NPI number 1487817672
LBN Legal business name Noor, Fazle Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Oct 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487817672 NPPES
Pennsylvania MEDICAID 1023025310002

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