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Organization

AWAN PROFESSIONAL MEDICAL CORP.

Active
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Organization

AWAN PROFESSIONAL MEDICAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAJAM A AWAN M.D. (PRESIDENT)
(707) 423-2510
Entity
Organization

Contact information

Practice address
1525 WEBSTER ST, SUITE A, FAIRFIELD, CA 94533-4997
(707) 423-2506
(707) 429-1158
Mailing address
1525 WEBSTER ST, SUITE A, FAIRFIELD, CA 94533-4997
(707) 423-2510
(707) 425-4032

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A26106
CA

Other

Enumeration date
05/06/2010
Last updated
05/06/2010
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