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Organization
CHRONIC CARE SPECIALISTS OF MA PC
Active
Organization
CHRONIC CARE SPECIALISTS OF MA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASEEM GHANNAM (OWNER)
(704) 231-4571
Entity
Organization
Contact information
Practice address
6600 RIDGE RD, BALTIMORE, MD 21237-4209
(212) 734-6621
Mailing address
1999 CEDARBRIDGE AVE STE 1A, LAKEWOOD, NJ 08701-7048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
06/08/2026
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