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Tarek Ezzeddine Md Inc
General Practice Physician in Rancho Cucamonga, California
NPI 1548701287

Tarek Ezzeddine Md Inc is a General Practice Physician based in Rancho Cucamonga, CA. Tarek Ezzeddine Md Inc practices in Rancho Cucamonga, CA. The NPI Number for Tarek Ezzeddine Md Inc is 1548701287 and holds a License No. C133690 (California).

The current practice location address for Tarek Ezzeddine Md Inc is 10841 White Oak Ave Ste 103, Rancho Cucamonga, CA and can be reached out via phone at 909-360-4722 and via fax at 909-360-4721.

Location: 10841 White Oak Ave Ste 103, Rancho Cucamonga, CA, 91730-3817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548701287
Provider Name
Tarek Ezzeddine Md Inc
Credential
Provider Entity Type
Organization
Address
10841 White Oak Ave Ste 103, Rancho Cucamonga, CA, 91730-3817
Phone Number
909-360-4722
Fax Number
909-360-4721
Provider Enumeration Date
03/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10841 White Oak Ave Ste 103
City
Rancho Cucamonga
State
California
Zip
91730-3817
Phone Number
909-360-4722
Fax Number
909-360-4721
person
Provider Business Mailing Address Details
Address
10841 White Oak Ave Ste 103
City
Rancho Cucamonga
State
California
Zip
91730-3817
Phone Number
909-360-4722
Fax Number
909-360-4721
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C133690 (California)
Definition
Definition to come...
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