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Individual

DR. TAL BEN HAZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 791-2040
(919) 791-2041
Mailing address
4790 BARKLEY CIR BLDG A, BARKLEY SURGERY CENTER, INC., FORT MYERS, FL 33907-7543
(239) 275-8882
(239) 275-6304

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2024-02680
NC
207RG0100X
Gastroenterology Physician
ME107950
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149RS
BCBS
FL
01
3059409
UHC
FL
01
7646900
CIGNA
FL
01
9439370
AETNA
FL
Enumeration date
05/04/2007
Last updated
03/05/2025
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