Provider Demographics
NPI:1427947043
Name:QAISER, WAFA (MD)
Entity type:Individual
Prefix:
First Name:WAFA
Middle Name:
Last Name:QAISER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOMETOWN PRIMARY CARE
Mailing Address - Street 2:34 S RAILROAD STREET
Mailing Address - City:TAMAQUA
Mailing Address - State:PA
Mailing Address - Zip Code:18252
Mailing Address - Country:US
Mailing Address - Phone:570-645-1950
Mailing Address - Fax:570-645-1955
Practice Address - Street 1:HOMETOWN PRIMARY CARE
Practice Address - Street 2:34 S. RAILROAD STREET
Practice Address - City:TAMAQUA
Practice Address - State:PA
Practice Address - Zip Code:18252
Practice Address - Country:US
Practice Address - Phone:570-645-1950
Practice Address - Fax:570-645-1955
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT235261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine