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Organization

MASSOUD B. ALIZADEH M.D.,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MASSOUD B ALIZADEH M.D (PHYSICIAN)
(301) 739-8049
Entity
Organization

Contact information

Practice address
240 FREDERICK ST, HAGERSTOWN, MD 21740-6100
(301) 739-8049
(301) 733-3287
Mailing address
240 FREDERICK ST, HAGERSTOWN, MD 21740-6100
(301) 739-8049
(301) 733-3287

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D14800
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004361300
MD
Enumeration date
05/04/2010
Last updated
05/04/2010
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