Individual
DR. ROBERT A BAZEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
229 S 4TH ST, LEBANON, PA 17042
(717) 273-2697
(717) 273-0125
Mailing address
229 S 4TH ST, LEBANON, PA 17042
(717) 273-2697
(717) 273-0125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD04154E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001124165001
—
PA
Enumeration date
05/04/2007
Last updated
05/10/2012
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