# CHRONIC CARE SPECIALISTS OF MA PC

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

## Provider details

- **NPI number:** 1215890421
- **Authorized official:** WASEEM GHANNAM (OWNER)
- **Authorized official phone:** (704) 231-4571

## Contact information

- **Practice address:** 6600 RIDGE RD, BALTIMORE, MD 21237-4209
- **Practice address phone:** (212) 734-6621
- **Mailing address:** 1999 CEDARBRIDGE AVE STE 1A, LAKEWOOD, NJ 08701-7048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2025
- **Last updated:** 06/08/2026