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Individual

DR. MAURIZIO ZEKI ALBALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
55475-20
WI
207L00000X
Anesthesiology Physician
MD420567
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD420567
PA
208VP0014X
Interventional Pain Medicine Physician
55475-20
WI
208VP0014X
Interventional Pain Medicine Physician
MD420567
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079691
MEDICARE ID-TYPE UNSPECIFIED
PA
05
1011622200001
PA
Enumeration date
06/30/2006
Last updated
11/30/2023
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