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Individual
ROBERT A. BAZYLAK
Active
Individual
ROBERT A. BAZYLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD014601E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006738050001
—
PA
01
—
157308
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
205132
UPMC HEALTH PLAN
PA
01
—
251754199019
MEDICAL MUTUAL OF OHIO
PA
01
—
4235190002
NATIONAL SUPPLIERS CLEARINGHOUSE
PA
01
—
68787
UNISON HEALTH PLAN
PA
01
—
B40196
HEALTH AMERICA
PA
01
—
P00303284
PALMETTO GBA-RAILROAD MEDICARE
PA
Enumeration date
01/18/2006
Last updated
01/27/2017
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