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1790860872
IMRAN QAYYUM
BRYN MAWR, PA
NPI
1790860872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: PA MD059580L)
Enumeration Date
2006-10-26
Last Update Date
2011-09-16
Business Address
Dr. IMRAN QAYYUM MD
BRYN MAWR HOSPITAL 130 S. BRYN MAWR AVE.
BRYN MAWR, PA 19010-3121
Phone number: 610-526-4261
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Mailing Address
Dr. IMRAN QAYYUM MD
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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