NPI Details | |
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NPI | 1033222302 |
Gender | Male |
Enumeration Date | 08/17/2006 |
Last Updated | 06/25/2012 |
Entity Type | Individual |
Active | Over 11 years ago |
Practice Location | |
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135 W DARES BEACH RD PRINCE FREDERICK MD, 20678-3119, US |
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Phone | (410) 414-7220 |
Fax | (410) 414-7223 |
Business Location | |
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135 W DARES BEACH RD SUITE101 PRINCE FREDERICK MD, 20678-3119, US |
|
Phone | (410) 263-6638 |
Fax | (410) 268-6830 |
Toxanomy | |
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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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