Banzi L. Bazaz, M.D.

NPI #1780681056 in Ogdensburg, New York

Provider Information

NPI Number: 1780681056
Entity Type: Individual
Name: Banzi L. Bazaz, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 1, 2005
Last Updated: Aug 5, 2010

Practice Location

Address: 3 LYON PLACE
Address 2: STE. 102
City: Ogdensburg
State: New York
ZIP Code: 13669
Phone: (315) 394-6473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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