Basic Information
| Provider Information | |||||||||
| NPI: | 1407978380 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QURESHI | ||||||||
| FirstName: | NAZER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1203 LANGHORNE NEWTOWN RD | ||||||||
| Address2: | SUITE 138 | ||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157413141 | ||||||||
| FaxNumber: | 2157413142 | ||||||||
| Practice Location | |||||||||
| Address1: | 55 MERIDEN AVE STE 3G | ||||||||
| Address2: | |||||||||
| City: | SOUTHINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064893235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602230800 | ||||||||
| FaxNumber: | 8602230444 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2007 | ||||||||
| LastUpdateDate: | 12/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | MD-435536 | PA | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | E-5886 | AR | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | 4301093523 | MI | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | 69889 | CT | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.