Individual
JENNA BAHADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-4440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
24555
NH
208600000X
Surgery Physician
Primary
291813
MA
Other
Enumeration date
04/10/2016
Last updated
09/19/2023
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