Provider Demographics
NPI:1326326141
Name:QUASER AMIN, M.D., PC
Entity Type:Organization
Organization Name:QUASER AMIN, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:QUASER
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-585-8595
Mailing Address - Street 1:5 CHATHAM HILL CIR
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-8796
Mailing Address - Country:US
Mailing Address - Phone:570-585-8595
Mailing Address - Fax:
Practice Address - Street 1:210 MONTAGE MOUNTAIN RD
Practice Address - Street 2:SUITE A
Practice Address - City:MOOSIC
Practice Address - State:PA
Practice Address - Zip Code:18507-1787
Practice Address - Country:US
Practice Address - Phone:570-909-9054
Practice Address - Fax:570-227-2738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD432199207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty