Individual
JOELLE WAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10980 GRANTCHESTER WAY FL 5, COLUMBIA, MD 21044-6097
(301) 902-1073
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0093147
MD
Other
Enumeration date
07/11/2016
Last updated
08/03/2024
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