Individual
SINA KAZEMZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-8359
Mailing address
1175 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-8359
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MT231018
PA
208600000X
Surgery Physician
4351051284
MI
Other
Enumeration date
04/07/2023
Last updated
06/10/2024
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