# SALLY HABIB, M.D.,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104255702
- **Authorized official:** DR. SALLY HABIB M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (410) 823-0358

## Contact information

- **Practice address:** 120 SISTER PIERRE DR, SUITE 306, TOWSON, MD 21204-7516
- **Practice address phone:** (410) 823-0358
- **Practice address fax:** (410) 823-8381
- **Mailing address:** 120 SISTER PIERRE DR, SUITE 306, TOWSON, MD 21204-7516
- **Mailing address phone:** (410) 823-0358
- **Mailing address fax:** (410) 823-8381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D42149 | MD | Yes |

## Other

- **Enumeration date:** 11/04/2013
- **Last updated:** 04/01/2014