Organization
SHADY GROVE HYPERBARIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL BUZY MD (PHYSICIAN)
(240) 826-7550
Entity
Organization
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(301) 279-6550
Mailing address
PO BOX 856, FREDERICK, MD 21705-0856
(240) 364-2515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600303600
—
MD
Enumeration date
06/02/2006
Last updated
01/21/2019
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