Boutros Zeidan, M.D.

NPI #1043204134 in Johnstown, Pennsylvania

Provider Information

NPI Number: 1043204134
Entity Type: Individual
Name: Boutros Zeidan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Sep 6, 2005
Last Updated: Jan 12, 2011

Practice Location

Address: 315 LOCUST ST
Address 2: SUITE 5B
City: Johnstown
State: Pennsylvania
ZIP Code: 15901-1651
Phone: (814) 535-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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