Provider Demographics
NPI:1053679720
Name:BEZEJU, DORIS F
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:F
Last Name:BEZEJU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6733 NEW HAMPSHIRE AVE
Mailing Address - Street 2:APT 904
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4864
Mailing Address - Country:US
Mailing Address - Phone:202-468-4692
Mailing Address - Fax:
Practice Address - Street 1:6733 NEW HAMPSHIRE AVE
Practice Address - Street 2:APT 904
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4864
Practice Address - Country:US
Practice Address - Phone:202-468-4692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide