Individual
MOUHAMAD BAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 WHITTIER DRIVE, SUITE 100, FREDERICK, MD 21702-3361
(301) 682-2988
(301) 682-2989
Mailing address
2405 WHITTIER DRIVE, SUITE 100, FREDERICK, MD 21702-3361
(301) 682-2988
(301) 682-2989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PP20574
MD
207RH0003X
Hematology & Oncology Physician
Primary
D0072463
MD
Other
Enumeration date
01/25/2008
Last updated
04/20/2017
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