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

Tarek Wazzan, MD

Individual provider Neurology Physician · NPI 1417399528

Tarek Wazzan, MD is a Neurology in Bangor, Maine. Qualified in 1994, 32 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
32
Licensed in
ME
In the registry since
2013
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

489 State St Neurodiagnostic Dept
Bangor, ME 04401-6616
Phone: (207) 973-7360
Fax: (207) 973-7362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD19696 (ME)

Record details

NPI number1417399528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 18, 2013
Last updated in NPPESJuly 18, 2013
Mailing address489 State St, Neurodiagnostic Dept, Bangor, ME 04401-6616

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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