NPI | 1508353384 |
---|---|
Doing Business As | BAZ FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JEANETTE SHABAZZ Presiden 717-421-5490 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS R885984) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2018-04-17 |