person
Boutros Zeidan, MD
Specialist in Johnstown, Pennsylvania
NPI 1043204134

Boutros Zeidan is a Specialist based in Johnstown, PA. Boutros Zeidan practices in Johnstown, PA and has the professional credentials of MD. The NPI Number for Boutros Zeidan is 1043204134 and holds a License No. MD064590L (Pennsylvania).

The current practice location address for Boutros Zeidan is 315 Locust St, Johnstown, PA and can be reached out via phone at 814-535-2030 and via fax at 814-535-2031. You can also correspond with Boutros Zeidan through the mailing address at 315 LOCUST ST, JOHNSTOWN, PA - 15901-1651 (mailing address contact number: 814-535-2030).

Location: 315 Locust St, Johnstown, PA, 15901-1651
person
Provider Profile Details
NPI Number
1043204134
Provider Name
Boutros Zeidan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
315 Locust St, Johnstown, PA, 15901-1651
Phone Number
814-535-2030
Fax Number
814-535-2031
Provider Enumeration Date
09/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161817 01 PA HIGHMARK BLUE SHIELD
99630 01 PA THREE RIVERS HEALTH PLAN
1507228 01 PA GATEWAY
0017225930005 05 PA
institution
Provider Business Practice Location Address Details
Address
315 Locust St
City
State
Zip
15901-1651
Phone Number
814-535-2030
Fax Number
814-535-2031
person
Provider Business Mailing Address Details
Address
315 Locust St
City
State
Zip
15901-1651
Phone Number
814-535-2030
Fax Number
814-535-2031
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD064590L (Pennsylvania)
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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