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Individual

DR. GEORGE B BITTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3558
(812) 232-8164
(812) 234-6391
Mailing address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01042073A
IN
207RI0011X
Interventional Cardiology Physician
01042073A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000093817
ANTHEM PIN
IN
01
060057561
RAILROAD MEDICARE
IN
05
100385710
IN
01
100778
FEDERAL BLACK LUNG
IN
Enumeration date
02/10/2006
Last updated
07/08/2008
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