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Individual

DR. TAREK A.H. RADWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MB, BCHIR

Contact information

Practice address
12 HIGH ST, STE. 401, LEWISTON, ME 04240-7676
(207) 795-5767
Mailing address
12 HIGH ST, STE. 401, LEWISTON, ME 04240-7676
(207) 795-5767

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
14568
NH
207T00000X
Neurological Surgery Physician
Primary
283046
NY
207T00000X
Neurological Surgery Physician
MD20673
ME

Other

Enumeration date
09/07/2006
Last updated
03/23/2023
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