Organization
MID-ATLANTIC ADDICTION MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHSAN ABDESHAHIAN MD (MEDICAL DIRECTOR)
(410) 800-4466
Entity
Organization
Contact information
Practice address
1110 BENFIELD BLVD, SUITE H, MILLERSVILLE, MD 21108-2639
(410) 800-4466
(410) 705-5024
Mailing address
1110 BENFIELD BLVD, SUITE H, MILLERSVILLE, MD 21108-2639
(410) 800-4466
(410) 705-5024
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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