Individual
BASSAM J SARROUJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-3561
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35082740S
OH
207RP1001X
Pulmonary Disease Physician
35082740S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2426011
—
OH
Enumeration date
11/08/2005
Last updated
06/21/2011
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