# MUSTAFA A. HAQUE, M.D., P.A.

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

## Provider details

- **NPI number:** 1639368376
- **Authorized official:** DR. MUSTAFA A HAQUE M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 657-9876

## Contact information

- **Practice address:** 5530 WISCONSIN AVE, SUITE 1660, CHEVY CHASE, MD 20815-4404
- **Practice address phone:** (301) 657-9876
- **Practice address fax:** (301) 657-8229
- **Mailing address:** 5530 WISCONSIN AVE, SUITE 1660, CHEVY CHASE, MD 20815-4404
- **Mailing address phone:** (301) 657-9876
- **Mailing address fax:** (301) 657-8240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | D0053126 | MD | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 30872 | DC | — |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 03/01/2013