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Widad E Bazzoui, MD
Specialist in Bradford, Pennsylvania
NPI 1851495337

Widad E Bazzoui is a Specialist based in Bradford, PA. Widad E Bazzoui practices in Bradford, PA and has the professional credentials of MD. The NPI Number for Widad E Bazzoui is 1851495337 and holds a License No. MD034596L (Pennsylvania).

The current practice location address for Widad E Bazzoui is 110 Campus Dr, Bradford, PA and can be reached out via phone at 814-362-6535 and via fax at 814-362-7358.

Location: 110 Campus Dr, Bradford, PA, 16701-3764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851495337
Provider Name
Widad E Bazzoui
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
110 Campus Dr, Bradford, PA, 16701-3764
Phone Number
814-362-6535
Fax Number
814-362-7358
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000547864 05 PA
institution
Provider Business Practice Location Address Details
Address
110 Campus Dr
City
Bradford
State
Pennsylvania
Zip
16701-1982
Phone Number
814-362-6535
Fax Number
814-362-7358
person
Provider Business Mailing Address Details
Address
110 Campus Dr
City
Bradford
State
Pennsylvania
Zip
16701-1982
Phone Number
814-362-6535
Fax Number
814-362-7358
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD034596L (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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