Individual
MR. ABDUL-MALIK JALLOH-JAMBORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 665-1717
(301) 665-1810
Mailing address
PO BOX 1248, HAGERSTOWN, MD 21741-1248
(800) 938-2828
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R172198
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085722
AANA ID
MD
01
—
P00957554
RAILROAD MEDICARE PTAN
MD
Enumeration date
01/19/2011
Last updated
11/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us