Boutros Zeidan M.D.

NPI 1043204134 - Specialist - 174400000X

NPI Details
NPI 1043204134
Gender Male
Enumeration Date 09/06/2005
Last Updated 01/12/2011
Entity Type Individual
Active Over 11 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
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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.