BASHAR ERICSOOSSI

MISHAWAKA, IN
NPI1437312758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: IN  01089928A)
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
(Licence: NY  274622)
Enumeration Date2008-07-07
Last Update Date2025-08-13
Business Address
Dr. BASHAR ERICSOOSSI M.D.
250 E DAY RD STE 300
MISHAWAKA, IN 46545-3471
Phone number: 574-968-0283
Mailing Address
Dr. BASHAR ERICSOOSSI M.D.
40 VALLEY STREAM PKWY STE 100
MALVERN, PA 19355-1407
Phone number: 610-644-8900