Individual
DR. NEZAM IBRAHIM ALTOROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3125 TRANSVERSE DR, TOLEDO, OH 43614-8008
(419) 383-3780
(419) 383-3269
Mailing address
3355 GLENDALE AVE, 3RD FLOOR, TOLEDO, OH 43614-2426
(419) 383-3780
(419) 383-3269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35121127
OH
207RR0500X
Rheumatology Physician
Primary
35121127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35121127
OHIO LICENSE
OH
Enumeration date
07/17/2008
Last updated
12/14/2017
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