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Organization
ROBERT A BAZYLAK, M.D.
Active
Organization
ROBERT A BAZYLAK, M.D.
Active
Parent organization
FRENCH CREEK INTERNAL MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRENCH CREEK INTERNAL MEDICINE
Authorized official
CHRISTIAN MILES (VICE PRESIDENT, PHYSICIAN SERVICES)
(814) 333-5267
Entity
Organization
Contact information
Practice address
12387 CONNEAUT LAKE RD, CONNEAUT LAKE, PA 16316-4203
(814) 382-0221
(814) 382-0231
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 382-0221
(814) 382-0231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD014601E
PA
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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