Organization
MY MED CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZANA AJMAL MD (OWNER)
(301) 540-1332
Entity
Organization
Contact information
Practice address
13225 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2648
(301) 852-1374
Mailing address
13225 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2648
(202) 584-9346
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/19/2023
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