DR. Fawziya Siddique Mirza, O.D.

NPI #1700811213 in Burtonsville, Maryland

Provider Information

NPI Number: 1700811213
Entity Type: Individual
Name: DR. Fawziya Siddique Mirza, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 15785 COLUMBIA PIKE
City: Burtonsville
State: Maryland
ZIP Code: 20866-1030
Phone: (301) 421-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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