Widad E Bazzoui is a Specialist in Bradford, Pennsylvania. Widad E Bazzoui practices all healthcare services and medical treatments related to Specialist. The NPI Number for Widad E Bazzoui is 1851495337. The last update date is 2007-07-08.
Widad E Bazzoui's current location address is 565 Minard Run Rd, Bradford, Pennsylvania. You can contact this provider via phone number 8143626535 and fax number 8143627358. The mailing address for Widad E Bazzoui is 565 Minard Run Rd, Bradford, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Widad E Bazzoui |
|---|---|
| Address | 565 Minard Run Rd, Bradford, Pennsylvania |
| Phone Number | 8143626535 |
| Fax Number | 8143627358 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851495337 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 565 Minard Run Rd |
|---|---|
| City | Bradford |
| State | Pennsylvania (PA) |
| Post Code | 167013764 |
| Phone Number | 8143626535 |
| Fax Number | 8143627358 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD034596L |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 547864 | PA | -- |
Post Comment/ Review Below
What is the Widad E Bazzoui's unique identification number?
The Widad E Bazzoui has been assigned the NPI (National Provider Identifier) Number 1851495337 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Widad E Bazzoui?
The Widad E Bazzoui is situated at 565 Minard Run Rd, in the city of Bradford, state of PA, with the zip code 167013764.
What is Widad E Bazzoui's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Widad E Bazzoui is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Widad E Bazzoui's 1851495337 issued?
The Widad E Bazzoui's 1851495337 was issued on 2006-09-12.
As of what date was the information pertaining to Widad E Bazzoui, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Widad E Bazzoui, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.