Issam F Damalouji MD

NPI 1033222302 - Family Medicine - 207Q00000X

NPI Details
NPI 1033222302
Gender Male
Enumeration Date 08/17/2006
Last Updated 06/25/2012
Entity Type Individual
Active Over 10 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
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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.