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Organization

BASHAR SUCCAR MD PC

Active
Other names
BLOOMFIELD HEARING
Organization subpart
No

Provider details

NPI number
Authorized official
BASHAR SUCCAR MD (PHYSICIAN)
(248) 334-9490
Entity
Organization

Contact information

Practice address
44200 WOODWARD AVE, SUITE 201, PONTIAC, MI 48341-5031
(248) 334-9490
(248) 636-1170
Mailing address
44200 WOODWARD AVE, SUITE 201, PONTIAC, MI 48341-5031
(248) 334-9490
(248) 636-1170

Taxonomy

Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54OF322840
BLUE CROSS BLUE SHIELD
MI
01
640F337070
BLUE CROSS BLUE SHIELD
MI
01
640F339780
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/22/2006
Last updated
05/13/2008
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