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Organization
SYED WASIMUL HAQUE MDPA
Active
Organization
SYED WASIMUL HAQUE MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED HAQUE MD (OWNER)
(301) 663-5252
Entity
Organization
Contact information
Practice address
700 MONTCLAIRE AVE, FREDERICK, MD 21701-4577
(301) 663-5252
(301) 662-6943
Mailing address
700 MONTCLAIRE AVE, FREDERICK, MD 21701-4577
(301) 663-5252
(301) 662-6943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D54636
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024500300
—
MD
Enumeration date
01/31/2013
Last updated
01/31/2013
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