| NPI Details | |
|---|---|
| NPI | 1033222302 |
| Gender | Male |
| Enumeration Date | 08/17/2006 |
| Last Updated | 06/25/2012 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 135 W DARES BEACH RD PRINCE FREDERICK MD, 20678-3119, US |
|
| Phone | (410) 414-7220 |
| Fax | (410) 414-7223 |
| Business Location | |
|---|---|
| 135 W DARES BEACH RD SUITE101 PRINCE FREDERICK MD, 20678-3119, US |
|
| Phone | (410) 263-6638 |
| Fax | (410) 268-6830 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | Maryland |
| License Number | D0003077 |
| Remove 1033222302 NPI Number | |
According to our database, Issam F Damalouji MD NPI is 1033222302, taxonomy code is 207Q00000X and license number is D0003077, license state is located at Maryland. Issam F Damalouji MD physically located at 135 W Dares Beach Rd, Prince Frederick MD, 20678-3119. NPI Number Issam F Damalouji MD has the Individual type.
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1033222302 NPI number is provided on an as is basis without warranty of any kind. 1033222302 is maintained by the National Plan & Provider Enumeration System. The contents of Issam F Damalouji MD are for informational purposes only.
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