Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edmond Bouassaf, MD

Individual provider Gastroenterology Physician · NPI 1346449071

Edmond Bouassaf, MD is a Gastroenterology in Altoona, Pennsylvania. Qualified in 1998, 28 years ago. Practices with Regional Gastroenterology Associates of Lancaster, Ltd, a 251-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
28
Licensed in
PA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

810 Valley Vew Blvd
Altoona, PA 16602-6342
Phone: (814) 946-5469
Fax: (814) 946-4970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD433540 (PA)

Record details

NPI number1346449071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021
Mailing address810 Valley View Blvd, Altoona, PA 16602-6342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Regional Gastroenterology Associates Of Lancaster, Ltd. — 251 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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