Individual
DR. EUGENA BAZIUK STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
600 CHESTNUT STREET EXT, BRADFORD, PA 16701-5438
(814) 362-8478
Mailing address
600 CHESTNUT STREET EXT, BRADFORD, PA 16701-5438
(814) 362-8478
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
40838
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032395030001
—
PA
Enumeration date
03/25/2010
Last updated
07/21/2022
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