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Contact Information

TAREK DBOUK, MD
3600 KOLBE RD
STE 210
LORAIN, OH44053
 Phone: 440-960-3912
 Fax: 440-960-3913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TAREK DBOUK · (Male)

NPI # 1215114913
Status Active
Credentials MD
Entity Individual
Enumeration date 01/24/2008
Last updated 12/22/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 3509314
  • OH Medicaid 3025372
Hospital affiliation(s)
  • MERCY REGIONAL MEDICAL CENTER - (Acute Care)
    3700 KOLBE ROAD
    LORAIN, OH 44053
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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