ABID NISAR

GRANITE CITY, IL
NPI1346350808
Entity TypeOrganization
Authorized ContactABID NISAR
Physician
618-451-9953
Organization Subpart ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
Enumeration Date2006-08-30
Last Update Date2010-07-30
Business Address
ABID NISAR
2044 MADISON AVE STE 28
GRANITE CITY, IL 62040-4641
Phone number: 618-451-9953
Mailing Address
ABID NISAR
1836 LACKLAND HILL PKWY ATTNT: CREDENTIALING DEPT.
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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