Organization
WEIGHTLOSS & SLEEP DISORDER CENTER OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD JAWAD MIRAN DO (MEMBER)
(516) 810-4496
Entity
Organization
Contact information
Practice address
1110 OPAL CT STE 4&5, HAGERSTOWN, MD 21740-5942
(301) 745-6392
Mailing address
2105 TWIN PEAKS CT, FREDERICK, MD 21702-5916
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H0083539
MD
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
H0083539
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098990
—
NJ
Enumeration date
11/13/2017
Last updated
05/07/2018
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