Organization
MY MED CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZANA AJMAL M.D. (OWNER)
(301) 698-3245
Entity
Organization
Contact information
Practice address
19731 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
(301) 698-3245
(301) 698-3246
Mailing address
19731 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
(301) 698-3245
(301) 698-3246
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
D0065301
MD
Other
Enumeration date
04/04/2008
Last updated
12/25/2013
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