Individual
MOATAZ BEHAIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
PO BOX 919336, ORLANDO, FL 32891-0001
(786) 596-1960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME147398
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
042-0015105
VT
2085R0204X
Vascular & Interventional Radiology Physician
315454
NY
2085R0204X
Vascular & Interventional Radiology Physician
ME147398
FL
Other
Enumeration date
04/07/2014
Last updated
05/18/2022
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