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Contact Information

ROBERT A BAZEWICZ, MD
229 S 4TH ST
LEBANON, PA17042
 Phone: 717-273-2697
 Fax: 717-273-0125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT A BAZEWICZ · (Male)

NPI # 1801008669
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2007
Last updated 05/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD04154E
  • PA Medicaid 001124165001
Hospital affiliation(s) Not Available
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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