Organization
COMPASSIONATE SPECIALTY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN NGANG ZAMA MD (OWNER)
(216) 502-7134
Entity
Organization
Contact information
Practice address
7831 BELLE POINT DR, GREENBELT, MD 20770-3338
(240) 394-7786
Mailing address
10319 WESTLAKE DR STE 193, BETHESDA, MD 20817-6403
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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