Individual
HIBA EZZEDDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
VCUHS DEPT OF ACUTE CARE SURGERY FELLOWSHIP, 980454, 1250 E. MARSHALL STREET, RICHMOND, VA 23298-0454
(804) 828-7155
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
0116033507
VA
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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