Individual
ABAZ SOSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 BOYLSTON STREET, BRADFORD, PA 16701
(814) 362-9733
(814) 362-9556
Mailing address
54 BOYLSTON STREET, BRADFORD, PA 16701
(814) 362-9733
(814) 362-9556
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD069319L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017963810001
—
PA
Enumeration date
05/10/2006
Last updated
12/16/2008
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