Provider Demographics
NPI:1831306091
Name:BASHA, SUZANNE L RAJJOUB (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:L RAJJOUB
Last Name:BASHA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1251 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6205
Mailing Address - Country:US
Mailing Address - Phone:610-820-0300
Mailing Address - Fax:484-223-3141
Practice Address - Street 1:1251 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6205
Practice Address - Country:US
Practice Address - Phone:610-820-0300
Practice Address - Fax:484-223-3141
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2014-09-15
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Provider Licenses
StateLicense IDTaxonomies
PAMD432930207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology