# DECALO MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1285180448
- **Authorized official:** JOHN K AZIZ MD (CEO)
- **Authorized official phone:** (301) 567-2557

## Contact information

- **Practice address:** 6196 OXON HILL RD, SUITE 210, OXON HILL, MD 20745-3100
- **Practice address phone:** (301) 567-2557
- **Mailing address:** 6196 OXON HILL RD, SUITE 210, OXON HILL, MD 20745-3100
- **Mailing address phone:** (301) 567-2557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 10/11/2016