Organization
PACCSA, L.L.C.
Active
Organization
PACCSA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN SABBAQ M.D. (M.D.)
(586) 207-1247
Entity
Organization
Contact information
Practice address
57850 VAN DYKE RD, SUITE 500, WASHINGTON, MI 48094-3826
(586) 207-1247
(586) 207-1264
Mailing address
950 W AVON RD, SUITE A2, ROCHESTER HILLS, MI 48307-2761
(248) 651-6430
(248) 650-1382
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
04/01/2010
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