# ISSAM F DAMALOUJI MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1326172248
- **Authorized official:** TRACEY L HAYNES (BILLING AGENT OFC MGR)
- **Authorized official phone:** (410) 263-6638

## Contact information

- **Practice address:** 135 W DARES BEACH RD, PRINCE FREDERICK, MD 20678-3119
- **Practice address phone:** (410) 263-6638
- **Practice address fax:** (410) 268-6830
- **Mailing address:** PO BOX 3269, PRINCE FREDERICK, MD 20678-2279
- **Mailing address phone:** (410) 263-6638
- **Mailing address fax:** (410) 268-6830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0003077 | MD | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020