MEDICARE: FAWAZ NASSAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD417055	PA

General Provider Information

NPI Number	:	1053389890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAWAZ NASSAR MD

Provider Business Mailing Address
First Line	:	155 SAND SPRINGS DR
Second Line	:
City	:	DRUMS
State	:	PA
Zip	:	18222-2027
Country	:	US
Telephone Number	:	570-708-1996
Fax Number	:	570-708-1996

Provider Business Practice Location Address
First Line	:	1090 N CHURCH ST
Second Line	:
City	:	HAZLETON
State	:	PA
Zip	:	18202-1446
Country	:	US
Telephone Number	:	570-459-1485
Fax Number	:	570-459-6354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	06/27/2023

Similar Medicare Providers

1346218104 — LEOCADIA T PRAWDZIK MD
Practice Location Address:

1090 N CHURCH ST
HAZLETON, PA
18202-1446

Practice Phone: 570-459-1485
Practice Fax: 570-459-6354

1063480820 — FRANCISCO A GAZEK MD
Practice Location Address:

1090 N CHURCH ST
HAZLETON, PA
18202-1446

Practice Phone: 570-459-1485
Practice Fax: 570-459-6354

1922114248 — INTERNAL MEDICINE ASSOC OF HAZELTON INC
Practice Location Address:

1090 N CHURCH ST
HAZLETON, PA
18202-1446

Practice Phone: 570-459-1485
Practice Fax: 570-459-6354

1326044116 — DR. MARK DINNER D.M.D.
Practice Location Address:

1201 N CHURCH ST , STE 209
HAZLETON, PA
18202-1455

Practice Phone: 570-459-6245
Practice Fax:

1619975992 — PETER W KOZICKY MD
Practice Location Address:

50 MOISEY DRIVE , SUITE 202
HAZLETON, PA
18202-9297

Practice Phone: 570-501-6730
Practice Fax: 570-501-3837

1003815721 — VADIM LOSHAKOV I M.D.
Practice Location Address:

1000 ALLIANCE DR
HAZLETON, PA
18202-3234

Practice Phone: 570-501-6450
Practice Fax: 570-501-6436

Directions to “ FAWAZ NASSAR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.