Provider Demographics
NPI:1205567385
Name:NISAR, ABDUL RAFEH (DO)
Entity type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:RAFEH
Last Name:NISAR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:2850 COMMERCE DR STE 300
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9383
Practice Address - Country:US
Practice Address - Phone:717-657-1361
Practice Address - Fax:717-657-5396
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2025-07-09
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Provider Licenses
StateLicense IDTaxonomies
PAOS023512207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty