Organization
B. BITTAR, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSAM F BITTAR M.D., P.C. (DOCTOR)
(570) 455-9531
Entity
Organization
Contact information
Practice address
1740 E BROAD ST, SUITE 103, HAZLETON, PA 18201-5667
(570) 455-9531
(570) 455-9159
Mailing address
1740 E BROAD ST, SUITE 103, HAZLETON, PA 18201-5667
(570) 455-9531
(570) 455-9159
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD056973L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016887960001
—
PA
Enumeration date
05/10/2007
Last updated
06/16/2008
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