Individual
TAREK DBOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3600 KOLBE RD, STE 210, LORAIN, OH 44053
(440) 960-3912
(440) 960-3913
Mailing address
PO BOX 636643, CINCINNATI, OH 45263-6643
(440) 989-3801
(440) 960-0264
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
3509314
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3025372
—
OH
Enumeration date
01/24/2008
Last updated
12/22/2015
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