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Organization

MARYLAND PEDIATRIC CARDIOLOGY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUBADDA SALIM M.D. (PHYSICIAN)
(443) 801-4202
Entity
Organization

Contact information

Practice address
3004 SENECA CHIEF TRL, ELLICOTT CITY, MD 21042-1418
(443) 801-4202
Mailing address
3004 SENECA CHIEF TRL, ELLICOTT CITY, MD 21042-1418

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
0101246900
VA
2080P0202X
Pediatric Cardiology Physician
Primary
D0040310
MD

Other

Enumeration date
07/23/2012
Last updated
07/23/2012
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