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Individual

JOSEPH B MIZGERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 983-9470
(301) 260-2838
Mailing address
PO BOX 299, BURTONSVILLE, MD 20866-0299
(301) 570-9700
(301) 260-2838

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0008425
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114241100
MD
Enumeration date
07/15/2006
Last updated
10/26/2007
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