Organization
VAZE INC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILIND M VAZE M.D. (PHYSICIAN)
(215) 914-0600
Entity
Organization
Contact information
Practice address
727 WELSH RD, STE 101, HUNTINGDON VALLEY, PA 19006-6357
(215) 914-0600
(215) 914-0115
Mailing address
727 WELSH RD, STE 101, HUNTINGDON VALLEY, PA 19006-6357
(215) 914-0600
(215) 914-0115
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD051961L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024131740001
—
PA
01
—
3764401000
IBC
PA
01
—
766011
HIGHMARK BLUE SHIELD
PA
01
—
P00788125
MEDICARE RAILROAD
PA
Enumeration date
07/24/2007
Last updated
03/08/2010
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