Hernan Antonio Bazan M.D.

NPI 1073714358 - Surgery - 2086S0129X

NPI Details
NPI 1073714358
Gender Male
Enumeration Date 05/31/2007
Last Updated 05/27/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1514 JEFFERSON HIGHWAY
8TH FLOOR-CLINIC
NEW ORLEANS LA, 07012, US
Phone (504) 842-4053
Fax (504) 842-5017
Business Location
1514 JEFFERSON HIGHWAY
8TH FLOOR-CLINIC
NEW ORLEANS LA, 70121, US
Phone (504) 842-4053
Fax (504) 842-5017
Toxanomy
Taxonomy Code 2086S0129X
License State Connecticut
License Number 044485
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According to our database, Hernan Antonio Bazan M.D. NPI is 1073714358, taxonomy code is 2086S0129X and license number is 044485, license state is located at Connecticut. Hernan Antonio Bazan M.D. physically located at 1514 Jefferson Highway, New Orleans LA, 07012. NPI Number Hernan Antonio Bazan M.D. has the Individual type.

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1073714358 NPI number is provided on an as is basis without warranty of any kind. 1073714358 is maintained by the National Plan & Provider Enumeration System. The contents of Hernan Antonio Bazan M.D. are for informational purposes only.