Individual
MOUSA NEJADDEHGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 BACK RIVER NECK RD, BALTIMORE, MD 21221-3924
(410) 238-0511
Mailing address
5117 DURHAM RD E, COLUMBIA, MD 21044
(410) 917-5015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12240
MD
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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