Provider Demographics
NPI:1639868391
Name:BEZEK, ABIGAIL GRACE (PA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:GRACE
Last Name:BEZEK
Suffix:
Gender:
Credentials:PA
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Mailing Address - Street 1:910 W HIGH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1806
Mailing Address - Country:US
Mailing Address - Phone:814-505-2986
Mailing Address - Fax:
Practice Address - Street 1:337 SOMERSET ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-2541
Practice Address - Country:US
Practice Address - Phone:814-534-4724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2025-04-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical