Bassam J Sarrouj
Pulmonary Disease Critical Care Medicine
4235 Secor Rd
Toledo
, Ohio 43623-4231
Bassam J Sarrouj
Pulmonary Disease Critical Care Medicine
4235 Secor Rd
Toledo
, Ohio 43623-4231
(419) 473-3561
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Bassam J Sarrouj
- 4235 Secor Rd
- Toledo, OH
- Zip : 43623-4231
- Phone : (419) 473-3561
Second Address
- Bassam J Sarrouj
- 4235 Secor Rd
- Toledo, OH
- Zip : 43623-4231
- Phone : (419) 473-3561
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | 35082740S | OH |
| N | 207RP1001X | Pulmonary Disease | 35082740S | OH |
National Provider Identifier
| NPI | 1073594024 |
|---|---|
| Provider Name | Bassam J Sarrouj |
| First Address | Toledo, OH 43623-4231 |
| Second Address | Toledo, OH 43623-4231 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2005 |
| Last Update Date | 21/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2426011 | (05) | OH |
| F44021 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.