Individual
IRIS D BAZING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
24 N WALNUT ST, SUITE 102, HAGERSTOWN, MD 21740-4738
(301) 745-3777
(301) 393-3434
Mailing address
24 N WALNUT ST, SUITE 102, HAGERSTOWN, MD 21740-4738
(301) 745-3777
(301) 393-3434
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
Primary
D51224
MD
208000000X
Pediatrics Physician
D51224
MD
2083P0901X
Public Health & General Preventive Medicine Physician
D51224
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796472200
—
MD
Enumeration date
01/18/2007
Last updated
03/12/2014
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