| NPI Details | |
|---|---|
| NPI | 1043204134 |
| Gender | Male |
| Enumeration Date | 09/06/2005 |
| Last Updated | 01/12/2011 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 315 LOCUST ST SUITE 5B JOHNSTOWN PA, 15901-1651, US |
|
| Phone | (814) 535-2030 |
| Fax | (814) 535-2031 |
| Business Location | |
|---|---|
| 315 LOCUST ST SUITE 5B JOHNSTOWN PA, 15901-1651, US |
|
| Phone | (814) 535-2030 |
| Fax | (814) 535-2031 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 174400000X |
| License State | Pennsylvania |
| License Number | MD064590L |
| Remove 1043204134 NPI Number | |
According to our database, Boutros Zeidan M.D. NPI is 1043204134, taxonomy code is 174400000X and license number is MD064590L, license state is located at Pennsylvania. Boutros Zeidan M.D. physically located at 315 Locust St, Johnstown PA, 15901-1651. NPI Number Boutros Zeidan M.D. has the Individual type.
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1043204134 NPI number is provided on an as is basis without warranty of any kind. 1043204134 is maintained by the National Plan & Provider Enumeration System. The contents of Boutros Zeidan M.D. are for informational purposes only.
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