EZRA BASHAW

THE RICHFORD HEALTH CENTER, INC.

Dr EZRA BASHAW is a male medical professional, specializing in Physician Assistant. He graduated in 2017.

Contact

THE RICHFORD HEALTH CENTER, INC.

8 INDUSTRIAL PARK RD
ALBURG HEALTH CARE
ALBURG
VT
054404057

Tel: 8027964414

EZRA BASHAW Information

Npi 1902313331
Pac Id 4284994120
Professional Enrollment Id I20180320000191
Last Name BASHAW
First Name EZRA
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE RICHFORD HEALTH CENTER, INC.
Group Practice Pac Id 7012825631
Number Of Group Practice Members 24
Line 1 Street Address 8 INDUSTRIAL PARK RD
Line 2 Street Address ALBURG HEALTH CARE
Marker Of Address Line 2 Suppression
City ALBURG
State VT
Zip Code 054404057
Phone Number 8027964414
Hospital Affiliation Ccn 1 470024
Hospital Affiliation Lbn 1 NORTHWESTERN MEDICAL CENTER INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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