Organization
DECALO MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K AZIZ MD (CEO)
(301) 567-2557
Entity
Organization
Contact information
Practice address
6196 OXON HILL RD, SUITE 210, OXON HILL, MD 20745-3100
(301) 567-2557
Mailing address
6196 OXON HILL RD, SUITE 210, OXON HILL, MD 20745-3100
(301) 567-2557
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
10/11/2016
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