Individual
EZDEAN FASSASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10914 GEORGIA AVE, SUITE 107, SILVER SPRING, MD 20902-4792
(240) 343-3193
Mailing address
10914 GEORGIA AVE, SUITE 107, SILVER SPRING, MD 20902-4792
(240) 343-3193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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