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Organization

PROGRESSIVE NEUROLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYA MASSOUD MD (DIRECTOR)
(301) 799-7588
Entity
Organization

Contact information

Practice address
2405 WHITTIER DR UNIT 100, FREDERICK, MD 21702-3361
(301) 682-2988
Mailing address
2405 WHITTIER DR UNIT 100, FREDERICK, MD 21702-3361
(301) 799-7588
(301) 799-7589

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
12/20/2019
Last updated
01/01/2020
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