Individual
SAMAANEH MOEZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12410 MILESTONE CENTER DRIVE, SUITE 600, GERMANTOWN, MD 20876-7102
(301) 500-5841
Mailing address
12410 MILESTONE CENTER DRIVE, SUITE 600, GERMANTOWN, MD 20876-7102
(301) 500-5841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007612
MD
Other
Enumeration date
08/26/2020
Last updated
08/06/2025
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