Individual
SAFWAN KAZMOUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 HIBISCUS WAY, NASHUA, NH 03062-3088
(734) 718-0196
Mailing address
40 HIBISCUS WAY, NASHUA, NH 03062-3088
(734) 718-0196
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
14925
NH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301062135
MI
261Q00000X
Clinic/Center
A65580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808272492
BLUE CROSS BLUE SHIELD
MI
05
—
3095219
—
NH
05
—
4123626
—
MI
Enumeration date
07/07/2005
Last updated
08/01/2024
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