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Individual

DR. BASSAM KRET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-1791
(220) 564-1790
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-1791
(220) 564-1790

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-081735
OH
208M00000X
Hospitalist Physician
Primary
35.081735
OH
208M00000X
Hospitalist Physician
35081735
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2355599
OH
Enumeration date
07/14/2005
Last updated
03/24/2023
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