A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Medical Specialty |
261QM2500X | |||
Podiatrist |
213E00000X | 48 | Podiatry | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1588098842 |
| LBN Legal business name | EAST WEST BARUCH MEDICAL GROUP INC |
| Authorized official | ADEL BOUTROS - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/22/2013 |
| Last updated | 05/11/2021 - About 5 years ago |
| Identifiers | n/a |
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EAST WEST BARUCH MEDICAL GROUP INC
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