Individual
ABDUL T RAZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 KOLBE RD, SUITE 221, LORAIN, OH 44053-1652
(440) 960-2718
(440) 960-5633
Mailing address
P.O. BOX 364, AMHERST, OH 44001-0364
(440) 960-2718
(440) 960-5633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
64185
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894368
—
OH
Enumeration date
02/14/2006
Last updated
06/17/2013
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