IndividualActive
Tarek Wazzan, M.D.
NPI 1417399528 · Neurology Physician · Bangor, ME
Provider details
- NPI number
- 1417399528
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD19696 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
489 State St
Neurodiagnostic Dept
Bangor, ME 04401-6616
Phone: (207) 973-7360
Fax: (207) 973-7362
Approximate (ZIP-level) locationGet directions
Mailing address
489 State St
Bangor, ME 04401-6616
Registry dates
- Enumerated
- 2013-07-18
- Last updated
- 2013-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.