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Organization
ALLERGY, ASTHMA AND IMMUNOLOGY CENTER
Active
Organization
ALLERGY, ASTHMA AND IMMUNOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHABNAM FOROUGHI M.D. (CHIEF EXECUTIVE OFFICER)
(301) 315-1500
Entity
Organization
Contact information
Practice address
10110 MOLECULAR DR, SUITE 209, ROCKVILLE, MD 20850-7539
(301) 315-1500
(301) 315-2545
Mailing address
10110 MOLECULAR DR, SUITE 209, ROCKVILLE, MD 20850-7539
(301) 315-1500
(301) 315-2545
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D006571
MD
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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