Individual
TAREK WAZZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
489 STATE ST, NEURODIAGNOSTIC DEPT, BANGOR, ME 04401-6616
(207) 973-7360
(207) 973-7362
Mailing address
489 STATE ST, NEURODIAGNOSTIC DEPT, BANGOR, ME 04401-6616
(207) 973-7360
(207) 973-7362
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD19696
ME
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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