Organization
BASHAR SUCCAR MD PC
Active
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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