Individual
MOHAMMED A WAZZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2990
(804) 520-1764
Mailing address
445 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2990
(804) 520-1764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101282893
VA
207RC0000X
Cardiovascular Disease Physician
0101282893
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101282893
VA
Other
Enumeration date
09/16/2016
Last updated
08/29/2024
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