Organization
MID ATLANTIC ADDICTION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHSAN ABDESHAHIAN MD (PRESIDENT)
(405) 306-0384
Entity
Organization
Contact information
Practice address
1110 BENFIELD BLVD, SUITE J, MILLERSVILLE, MD 21108-2639
(410) 923-1382
Mailing address
1125 MADISON ST, APT 314, ALEXANDRIA, VA 22314-6409
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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