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Individual
DR. MAZEN DIAB
Active
Individual
DR. MAZEN DIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
MT198421
PA
207R00000X
Internal Medicine Physician
036135420
IL
207RN0300X
Nephrology Physician
Primary
036-135420
IL
Other
Enumeration date
09/02/2010
Last updated
03/30/2017
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