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Dr. Harold Mustapha Bacchus JR., MD
Family Medicine Physician in Fort Wayne, Indiana
NPI 1881654523

Harold Mustapha Bacchus JR. is a Family Medicine Physician based in Ft Wayne, IN. Harold Mustapha Bacchus JR. practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Harold Mustapha Bacchus JR. is 1881654523 and holds a License No. 01034833 (Indiana).

The current practice location address for Harold Mustapha Bacchus JR. is 1719 Cremer Ave, Fort Wayne, IN and can be reached out via phone at 260-490-9150 and via fax at 260-490-9195.

Location: 1719 Cremer Ave, Fort Wayne, IN, 46845-1952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881654523
Provider Name
Harold Mustapha Bacchus JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1719 Cremer Ave, Fort Wayne, IN, 46845-1952
Phone Number
260-490-9150
Fax Number
260-490-9195
Provider Enumeration Date
03/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000634416 01 IN ANTHEM
200027190 05 IN
institution
Provider Business Practice Location Address Details
Address
1719 Cremer Ave
City
Fort Wayne
State
Indiana
Zip
46818-1052
Phone Number
260-490-9150
Fax Number
260-490-9195
person
Provider Business Mailing Address Details
Address
1719 Cremer Ave
City
Fort Wayne
State
Indiana
Zip
46818-1052
Phone Number
260-490-9150
Fax Number
260-490-9195
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01034833 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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